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Contact Information

JENNIFER E MARTIN, CCC-A
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR97239
 Phone: 503-494-2901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for JENNIFER E MARTIN · (Female)

NPI # 1770651010
Status Active
Credentials CCC-A
Entity Individual
Enumeration date 12/04/2006
Last updated 03/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 22114
  • OR Medicaid 023181
Hospital affiliation(s) Not Available
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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