Martin, Stephanie Anne
Martin, Stephanie Anne is an individual health care provider with primary practice located at 983 Nw Spruce Ave , Corvallis OR 97330-2111. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Martin, Stephanie Anne can be contacted via phone (541) 753-2068.Contact Information
Primary practice address
983 Nw Spruce Ave
Corvallis OR 97330-2111
Phone: (541) 753-2068
Fax: (541) 753-5392
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 30611 | Oregon |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 30611 | Oregon |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | HAS P 10119028 | Oregon |
Profile Details
NPI number | 1295910123 |
---|---|
LBN Legal business name | Martin, Stephanie Anne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2008 |
Last updated | Jan 9th, 2008 - about 16 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 | 1295910123 | NPPES |
Oregon | MEDICAID | 214452 |
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