MR. ERIC ALLEN MARTIN (NPI# 1033596853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033596853 |
| Entity Type | Individual |
| Full Name | MR. ERIC ALLEN MARTIN |
| Credential | CADC III, CRM, CPS |
| Practice Address |
2054 N. Vancouver Ave Portland OR 97227 |
| Practice Telephone | 5032318164 |
| Practice Fax Number | 5032324318 |
| Mailing Telephone | 5032318164 |
| Mailing Fax Number | 5032324318 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11-CRM-002 | OR | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
05-11-97 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184925 | Eric Martin | Dentist | 223 S Pleasant Ave Ste 303, Somerset, PA 15501-2188 | 2017-06-18 |
| 1932338647 | Eric Douglas Martin | Counselor | 7209j E Wt Harris Blvd # 199, Charlotte, NC 28227-1008 | 2009-07-02 |
| 1467686873 | Eric R Martin | Pharmacist | Broadway At 14th St., Quincy, IL 62301 | 2009-05-13 |
| 1639371750 | Eric Martin | Dentist | 3254 Deer Hollow Dr, Sandy, UT 84092-6506 | 2007-06-01 |
| 1447335682 | Eric Anton Martin | Dentist | 895 Moraga Rd Ste 6, Lafayette, CA 94549-5039 | 2006-10-26 |
| 1912919069 | Eric Lee Martin | Chiropractor | 2756 Veach Rd, Owensboro, KY 42303-6219 | 2006-08-13 |
| 1366472219 | Eric S. Martin | Dentist | 530 Hawthorn St, Dartmouth, MA 02747-3717 | 2006-07-04 |
| 1366415929 | Eric Christopher Martin | Optometrist | 2268 Kresge Dr, Amherst, OH 44001-1260 | 2006-02-13 |
| 1710453675 | Eric Joseph Martin | Community/Behavioral Health | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2018-10-18 |
| 1104276310 | Eric Lee Martin | Family Medicine | 615 S New Ballas Rd, Family Medicine, Saint Louis, MO 63141-8221 | 2016-06-18 |
| Street Address |
2054 N. VANCOUVER AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1891101671 | Shushaun Badalian | Nurse Practitioner | 406 North Beech Street, Portland, OR 97227 | 2014-07-01 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.