Individual
RICHARD LOUIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1037 ARCHER DR, MEDFORD, OR 97501-4442
(541) 890-2632
Mailing address
1037 ARCHER DR, MEDFORD, OR 97501-4442
(541) 890-2632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098000517RN
OR
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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