Martin, Vernon Arthur
Martin, Vernon Arthur is an sole proprietor health care provider with primary practice located at 10102 Ne Glisan St , Portland OR 97220-4456. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Martin, Vernon Arthur can be contacted via phone (503) 257-5959.Contact Information
Primary practice address
10102 Ne Glisan St
Portland OR 97220-4456
Phone: (503) 257-5959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 0516028598 | Oregon |
Profile Details
| NPI number | 1902813348 |
|---|---|
| LBN Legal business name | Martin, Vernon Arthur |
| Credentials | L.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 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 | 1902813348 | NPPES |
| Oregon | Other | 0516028598 | LICENSED DENTURIST |
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