Dr. Robert Thomas Martin
Emergency Physician
4805 Ne Glisan St
Portland
, Oregon 97213-2933
Dr. Robert Thomas Martin
Emergency Physician
4805 Ne Glisan St
Portland
, Oregon 97213-2933
(503) 297-2360
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Robert Thomas Martin
- 9340 Sw Barnes Rd Suite 202
- Portland, OR
- Zip : 97225-6623
- Fax : (503) 297-2360
- Phone : (503) 297-6334
Second Address
- Dr. Robert Thomas Martin
- 4805 Ne Glisan St
- Portland, OR
- Zip : 97213-2933
- Fax : (503) 297-2360
- Phone : (503) 297-6334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD12317 | OR |
National Provider Identifier
| NPI | 1013005115 |
|---|---|
| Provider Name | Dr. Robert Thomas Martin |
| First Address | Portland, OR 97225-6623 |
| Second Address | Portland, OR 97213-2933 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 223008 | (05) | OR |
| C91881 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.