Individual
JARED PAUL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 97035-3533
(503) 457-7295
(503) 457-7295
Mailing address
4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 97035-3533
(503) 457-7295
(855) 861-6377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201400663NP-PP
OR
Other
Enumeration date
12/20/2012
Last updated
06/23/2025
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