JARED PAUL MARTIN (NPI# 1336485259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336485259 |
| Entity Type | Individual |
| Full Name | JARED PAUL MARTIN |
| Credential | NP |
| Practice Address |
5 Centerpointe Dr Ste 600 Lake Oswego OR 97035-8662 |
| Practice Telephone | 5034577295 |
| Practice Fax Number | 8558616377 |
| Mailing Telephone | 5034577295 |
| Mailing Fax Number | 8558616377 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201400663NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784806 | Jared Travis Martin | Physical Therapy Assistant | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2018-09-17 |
| 1659860724 | Jared John Martin | Nurse Practitioner | 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2018-05-04 |
| 1801341656 | Jared Martin | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2016-08-22 |
| 1245576313 | Jared Wayne Martin | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-12-18 |
| 1649569583 | Jared Thomas Martin | Emergency Medicine | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2011-03-31 |
| 1639499783 | Jared C Martin | Obstetrics & Gynecology | 6420 Clayton Rd, Suite 291, Saint Louis, MO 63117-1811 | 2010-06-10 |
| 1720249931 | Jared S. Martin | Dentist | 4722 N Southside Plaza St, #24, Richmond, VA 23224-1742 | 2008-06-19 |
| 1245416072 | Jared Martin | Case Manager/Care Coordinator | 1100 California St, Eureka, CA 95501-1621 | 2008-01-10 |
| 1962623991 | Jared Martin | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2007-05-01 |
| Street Address |
5 CENTERPOINTE DR STE 600 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447364799 | Carol Jean Thamert | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2006-08-17 |
| 1821598921 | Vickie T. Pham | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2018-02-15 |
| 1538678073 | Brittany Nichole Bauer | Physician Assistant | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2017-09-27 |
| 1083130058 | Anthony Hernandez | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2017-08-21 |
| 1265887335 | Amy Humphrey | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2016-04-26 |
| 1528439916 | Courtney Renae Summerskill | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 | 2015-10-12 |
| 1477996163 | Xi Liu | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2013-04-11 |
| 1609156355 | Heather Lindsey Tappert | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2011-08-26 |
| 1093025918 | Julie Lyn Cramer | Physician Assistant | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2010-10-13 |
| 1306096185 | Adam Richard Bailey | Physician Assistant | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1093053431 | Housecall Medical Services, Inc | Nurse Practitioner | 49 Ladd St, Lake Oswego, OR 97034-3853 | 2013-01-18 |
| 1891982286 | James Edward Suiter | Nurse Practitioner | 5 Centerpointe Drive, Suiter 600, Lake Oswego, OR 97035-8662 | 2007-09-28 |
| 1447364799 | Carol Jean Thamert | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2006-08-17 |
| 1093314874 | Charise Lynne Monte | Nurse Practitioner | 5 Centerpointe Dr, Lake Oswego, OR 97035-8651 | 2020-10-22 |
| 1093272015 | Tierney Newman | Nurse Practitioner | 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479 | 2019-02-26 |
| 1821598921 | Vickie T. Pham | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2018-02-15 |
| 1083130058 | Anthony Hernandez | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2017-08-21 |
| 1265887335 | Amy Humphrey | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2016-04-26 |
| 1528439916 | Courtney Renae Summerskill | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 | 2015-10-12 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on JARED PAUL MARTIN.
| 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.