Individual
KATIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2008
Mailing address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD194053
OR
Other
Enumeration date
04/26/2015
Last updated
07/25/2024
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