Individual
MR. MICHAEL DONNELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5050 NE HOYT ST, SUITE 156, PORTLAND, OR 97213-2991
(503) 215-0472
(503) 215-6485
Mailing address
4014 N MICHIGAN AVE, PORTLAND, OR 97227-1153
(503) 282-5036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5349
OR
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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