Organization
NORTHWEST PEDIATRICS AND ADOLESCENT MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARTIN D.O., MPH (PEDIATRICIAN)
(541) 386-2300
Entity
Organization
Contact information
Practice address
810 13TH ST, HOOD RIVER, OR 97031-1210
(541) 386-2300
(541) 436-4113
Mailing address
810 13TH ST, HOOD RIVER, OR 97031-1210
(541) 386-2300
(541) 436-4113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO27031
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500621998
—
OR
Enumeration date
08/04/2011
Last updated
01/17/2014
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