Martinez, Dawn Lane

Martinez, Dawn Lane is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Martinez, Dawn Lane can be contacted via phone (503) 297-6334.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 297-6334
Fax: (503) 297-2360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 081047394N1FNPPP Oregon

Profile Details

NPI number 1497767735
LBN Legal business name Martinez, Dawn Lane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497767735 NPPES
Oregon MEDICAID 210804

Popular Providers