Individual
KARRIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2060
(503) 879-2071
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2060
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4704303950
MI
363L00000X
Nurse Practitioner
0024187032
VA
363LF0000X
Family Nurse Practitioner
Primary
10016905
OR
363LF0000X
Family Nurse Practitioner
25338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760567
—
AK
01
—
260849
RN SC
SC
01
—
F07210180
NP CERTIFICATION
—
Enumeration date
04/19/2016
Last updated
02/10/2026
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