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Individual

ANGELA S MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9099
(503) 982-0626
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9099
(509) 982-0626

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10010360
OR
363L00000X
Nurse Practitioner
Primary
95032537
CA
363LF0000X
Family Nurse Practitioner
1212206655
LA

Other

Enumeration date
08/30/2011
Last updated
07/23/2025
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