Individual
MS. KRISTIN SHANDEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15640 NW LAIDLAW RD STE 102, PORTLAND, OR 97229-3828
(503) 956-7120
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10035209
OR
Other
Enumeration date
02/04/2025
Last updated
04/01/2025
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