Individual
RICHARD PAUL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 825-7500
(360) 825-3370
Mailing address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 825-7500
(360) 825-3370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00046462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021021
—
WA
05
—
1432202
—
LA
Enumeration date
05/19/2006
Last updated
11/08/2024
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