Individual
DR. IAN PORTER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-5876
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-5876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60132722
WA
208M00000X
Hospitalist Physician
Primary
MD60132722
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264973
LABOR & INDUSTRIES
WA
05
—
2008451
—
WA
Enumeration date
07/03/2007
Last updated
11/11/2020
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