Jo M Martin
Dermatologist
9900 Se Sunnyside Rd Nw Permanente Pc, Physicians And Surgeons
Clackamas
, Oregon 97015-9777
Jo M Martin
Dermatologist
9900 Se Sunnyside Rd Nw Permanente Pc, Physicians And Surgeons
Clackamas
, Oregon 97015-9777
(503) 571-3332
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jo M Martin
- 9900 Se Sunnyside Rd Nw Permanente Pc, Physicians And Surgeons
- Clackamas, OR
- Zip : 97015-9777
- Phone : (503) 571-3332
Second Address
- Jo M Martin
- 9900 Se Sunnyside Rd Nw Permanente Pc, Physicians And Surgeons
- Clackamas, OR
- Zip : 97015-9777
- Phone : (503) 571-3332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD163184 | OR |
National Provider Identifier
| NPI | 1013142116 |
|---|---|
| Provider Name | Jo M Martin |
| First Address | Clackamas, OR 97015-9777 |
| Second Address | Clackamas, OR 97015-9777 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2009 |
| Last Update Date | 02/10/2020 |
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.