Individual
JAMES C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3236 78TH AVE SE, SUITE 200, MERCER ISLAND, WA 98040-3500
(206) 275-5060
(206) 275-5061
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00027674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064112
—
WA
01
—
110222293
PALMETTO RR MEDICARE
WA
01
—
152210
LABOR & INDUSTRY
WA
01
—
5508MA
REGENCE
WA
01
—
5891740001
DME
WA
Enumeration date
09/30/2005
Last updated
10/08/2020
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