Organization
J CHRIS MARTIN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY MARTIN (VP)
(503) 585-8420
Entity
Organization
Contact information
Practice address
1625 COMMERCIAL ST SE, SALEM, OR 97302-4311
(503) 858-8420
(503) 581-3897
Mailing address
1625 COMMERCIAL ST SE, SALEM, OR 97302-4311
(503) 858-8420
(503) 581-3897
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4747
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235820
OREGON HEALTH PLAN
OR
Enumeration date
01/18/2007
Last updated
08/22/2020
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