Martin, Michael Stephen

Martin, Michael Stephen is an individual health care provider with primary practice located at 3600 N Interstate Ave , Portland OR 97227-1106. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Martin, Michael Stephen can be contacted via phone (503) 285-9321.

Contact Information

Primary practice address
3600 N Interstate Ave Portland OR 97227-1106
Phone: (503) 285-9321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001048TX Washington
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1240ATI Oregon

Profile Details

NPI number 1316059512
LBN Legal business name Martin, Michael Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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