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Contact Information

CAROLYN J MARTIN, MD
400 NE MOTHER JOESPH PLACE
VANCOUVER, WA98664
 Phone: 360-514-2142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CAROLYN J MARTIN · (Female)

NPI # 1831175462
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 25889
  • IN License # 01067726B
  • OR License # MD27043
  • WA License # MD 60131801
  • MT Medicaid 1831175462
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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