Organization
MARTINDALE CSFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS S MARTINDALE CSFA (PRESIDENT)
(503) 873-1701
Entity
Organization
Contact information
Practice address
6414 HONEYWOOD CT NE, KEIZER, OR 97303-1187
(888) 322-6432
(888) 329-6432
Mailing address
6414 HONEYWOOD CT NE, KEIZER, OR 97303-1187
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96396
CSFA CERTIFICATION
OR
Enumeration date
04/19/2010
Last updated
03/04/2016
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