Katie Martin

NPI #1770970998 in Grand Ronde, Oregon

Provider Information

NPI Number: 1770970998
Entity Type: Individual
Name: Katie Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Apr 26, 2015
Last Updated: Jul 25, 2024

Practice Location

Address: 9615 GRAND RONDE RD
City: Grand Ronde
State: Oregon
ZIP Code: 97347-9712
Phone: (503) 879-2008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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