Individual
ROBERT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10032757
OR
363LF0000X
Family Nurse Practitioner
9287512
FL
Other
Enumeration date
02/20/2018
Last updated
03/10/2025
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