Individual
ERIK A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
501 SE 172ND AVE STE 140, VANCOUVER, WA 98684
(360) 882-2778
(360) 604-1723
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00706
OR
363A00000X
Physician Assistant
Primary
PA60911536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010634
—
WA
Enumeration date
07/27/2006
Last updated
01/15/2019
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