Individual
DR. KEITH BLAINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
285 NE MIDWAY BLVD STE 7, OAK HARBOR, WA 98277-2699
(360) 672-9898
(844) 389-4333
Mailing address
285 NE MIDWAY BLVD STE 7, OAK HARBOR, WA 98277-2699
(360) 672-9898
(844) 389-4333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3047
MA
111N00000X
Chiropractor
Primary
CH00034846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226757
WASHINGTON L & I
WA
05
—
2034031
—
WA
01
—
6757MA
REGENCE BLUE SHIELD
WA
Enumeration date
12/20/2005
Last updated
12/08/2021
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