Marie Deborah Martin
Nurse Practitioner - Psychiatric/Mental Health
1012 Sw King Ave Ste 305
Portland
, Oregon 97205-1110
Marie Deborah Martin
Nurse Practitioner - Psychiatric/Mental Health
1012 Sw King Ave Ste 305
Portland
, Oregon 97205-1110
(503) 715-0422
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Marie Deborah Martin
- 1012 Sw King Ave Ste 305
- Portland, OR
- Zip : 97205-1110
- Fax : (503) 715-0422
- Phone : (503) 241-2523
Second Address
- Marie Deborah Martin
- 1012 Sw King Ave Ste 305
- Portland, OR
- Zip : 97205-1110
- Fax : (503) 715-0422
- Phone : (503) 241-2523
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 200450024NP PMHNP-PP | OR |
National Provider Identifier
| NPI | 1033254909 |
|---|---|
| Provider Name | Marie Deborah Martin |
| First Address | Portland, OR 97205-1110 |
| Second Address | Portland, OR 97205-1110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2007 |
| Last Update Date | 20/09/2011 |
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.