National Provider Identifier Database

MARTHA DRIESSNACK
Pediatrics


Contact Information

MARTHA DRIESSNACK
3455 SW US VETERANS HOSPITAL RD
SN-6S
PORTLAND, OR97239-3076
Phone: 503-418-1271
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for MARTHA DRIESSNACK

NPI Number 1740698745
Credentials
Entity Individual
Enumeration date 07/23/2014
Last updated 07/23/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: 201350041NP
Hospital affiliation n/a

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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