Individual
PAMELA ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 201-3458
Mailing address
7509 NE 239TH ST, BATTLE GROUND, WA 98604-5542
(503) 201-3458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00148859
WA
363LF0000X
Family Nurse Practitioner
Primary
10039339
OR
363LF0000X
Family Nurse Practitioner
200642777RN
OR
363LF0000X
Family Nurse Practitioner
AP61341041
WA
Other
Enumeration date
11/27/2019
Last updated
09/11/2025
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