Individual
MARK ALAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 266-6321
(503) 227-3422
Mailing address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 266-6321
(503) 227-3422
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00035549
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD20553
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150363
—
OR
05
—
8218232
—
WA
Enumeration date
08/19/2005
Last updated
09/01/2015
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