Martin, Roseanne Marie
Martin, Roseanne Marie is an individual health care provider with primary practice located at 119 Ne 3Rd St , Gresham OR 97030-7403. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Martin, Roseanne Marie can be contacted via phone (503) 665-9111.Contact Information
Primary practice address
119 Ne 3Rd St
Gresham OR 97030-7403
Phone: (503) 665-9111
Fax: (503) 665-0110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1079 | Oregon |
Profile Details
| NPI number | 1114974714 |
|---|---|
| LBN Legal business name | Martin, Roseanne Marie |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114974714 | NPPES |
| Oregon | MEDICAID | 182905 |
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