Individual
DANIEL MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
85 N 12TH AVE, CORNELIUS, OR 97113-9029
(503) 352-8562
Mailing address
85 N 12TH AVE, CORNELIUS, OR 97113-9029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
PA150160
OR
363A00000X
Physician Assistant
Primary
PA150160
OR
Other
Enumeration date
09/22/2008
Last updated
11/25/2025
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