DERRICK E MARTIN SR.


Address: 55 Ne Grand Ave, Portland, OR 97232
Phone: 5103377950

DERRICK E MARTIN SR. (NPI# 1396031209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396031209
Entity Type Individual
Full Name DERRICK E MARTIN SR.
Practice Address 55 Ne Grand Ave
Portland
OR 97232
Practice Telephone 5103377950
Mailing Telephone 5103377950
Enumeration Date 2011-06-20
Last Update Date 2011-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers DERRICK MARTIN

NPI Name Taxonomy Address Enumeration
1457875932 Derrick Francis Martin Counselor 1601 Nantucket Dr, Mansfield, OH 44904-2147 2017-07-27
1104980812 Derrick J Martin Sr. Surgery 3003 S Florida Ave Ste 101, Lakeland, FL 33803-4050 2006-12-20
1831799972 Derrick Martin Jr. Rehabilitation Counselor 306 Spruce Ave, South San Francisco, CA 94080-2741 2020-10-28
1417576208 Derrick Martin Student in an Organized Health Care Education/Training Program 1313 E Herndon Ave, Fresno, CA 93720-3306 2020-04-11
1225154867 Derrick A Martin Physical Therapist 7501 Greenway Center Dr, Suite 800, Greenbelt, MD 20770-3514 2007-03-22

Office Location

Street Address 55 NE GRAND AVE
City PORTLAND
State OR
Zip Code 97232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912963299 Lyle L Jobe Psychiatry & Neurology 55 Ne Grand Ave, Portland, OR 97232-2968 2006-04-25
1437505658 Kelly Lane Chelucci Registered Nurse 55 Ne Grand Ave, Portland, OR 97232-2968 2016-05-06
1801259494 Phyllis Wright Registered Nurse 55 Ne Grand Ave, Portland, OR 97232-2968 2016-03-31
1700244506 Jordon Heynoski Specialist 55 Ne Grand Ave, Portland, OR 97232-2968 2016-02-08
1225420706 Melissa Russell Registered Nurse 55 Ne Grand Ave, Portland, OR 97232-2968 2015-02-20
1093136988 Michelle Hay Registered Nurse 55 Ne Grand Ave, Portland, OR 97232-2968 2013-12-19
1316233927 Alisha Donielle Porter Registered Nurse 55 Ne Grand Ave, Portland, OR 97232 2011-06-22
1598895013 Corinne A Rekart Registered Nurse 55 Ne Grand Ave, Portland, OR 97232-2968 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
Find all providers in zip 97232

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97232

Improve Information

Please comment or provide details below to improve the information on DERRICK E MARTIN SR..

Dataset Information

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.

Trending Searches