Barbara Elizabeth Martin PA

NPI 1003864166 - Physician Assistant - 363A00000X

NPI Details
NPI 1003864166
Gender Female
Enumeration Date 05/04/2006
Last Updated 09/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
727 W BURNISDE
PORTLAND OR, 97209, US
Phone (503) 228-4533
Fax
Business Location
232 NW 6TH AVE
PORTLAND OR, 97209-3609, US
Phone (503) 228-4533
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA01041
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According to our database, Barbara Elizabeth Martin PA NPI is 1003864166, taxonomy code is 363A00000X and license number is PA01041, license state is located at Oregon. Barbara Elizabeth Martin PA physically located at 727 W Burnisde, Portland OR, 97209. NPI Number Barbara Elizabeth Martin PA has the Individual type.

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1003864166 NPI number is provided on an as is basis without warranty of any kind. 1003864166 is maintained by the National Plan & Provider Enumeration System. The contents of Barbara Elizabeth Martin PA are for informational purposes only.