Individual
MS. CHRISTINA RENEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504
(541) 789-5121
(541) 789-5122
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7003531-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7003531-4405
APRN
UT
Enumeration date
01/16/2019
Last updated
11/20/2019
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