Martin, Mark Alan

Martin, Mark Alan is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 315, Portland OR 97210-5101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Martin, Mark Alan can be contacted via phone (503) 266-6321.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite 315 Portland OR 97210-5101
Phone: (503) 266-6321
Fax: (503) 227-3422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD20553 Oregon
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00035549 Washington

Profile Details

NPI number 1548252992
LBN Legal business name Martin, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 1st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548252992 NPPES
Oregon MEDICAID 150363
Oregon MEDICAID 8218232

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