Individual
MARTIN MAURUS KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAOM, L.AC.
Contact information
Practice address
685 PORTLAND AVE, GLADSTONE, OR 97027-2117
(503) 891-2352
(503) 655-2146
Mailing address
5240 SE KING GEORGE CT, MILWAUKIE, OR 97267-6132
(503) 891-2352
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01116
OR
Other
Enumeration date
03/13/2007
Last updated
04/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us