Cavazos, Martha Marie
Cavazos, Martha Marie is an individual health care provider with primary practice located at 560 Catalina Dr , Ashland OR 97520-1605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Cavazos, Martha Marie can be contacted via phone (541) 201-4800.Contact Information
Primary practice address
560 Catalina Dr
Ashland OR 97520-1605
Phone: (541) 201-4800
Fax: (541) 201-4815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD25511 | Oregon |
Profile Details
NPI number | 1639197742 |
---|---|
LBN Legal business name | Cavazos, Martha Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639197742 | NPPES |
Oregon | Other | MD25511 | STATE LICENSE |
Oregon | Other | A68554 | STATE LICENSE |
Oregon | Other | 840333003 | STATE LICENSE |
Oregon | MEDICAID | 022866 | STATE LICENSE |
Oregon | Other | 022866 | STATE LICENSE |
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