Individual
KIRK MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
3117 NE 75TH AVE, PORTLAND, OR 97213-5856
(503) 689-3789
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
116290
OR
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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