Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1670 | WA |
N | 175F00000X | Naturopath | 488 | WA |
NPI | 1801944087 |
---|---|
Provider Name | Dr. Robert M Martinez |
First Address | Kirkland, WA 98033-4677 |
Second Address | Kirkland, WA 98033-4677 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 17/12/2012 |