DR. BREANN NICOLE MARTIN (NPI# 1053838581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053838581 |
| Entity Type | Individual |
| Full Name | DR. BREANN NICOLE MARTIN |
| Credential | PSYD |
| Practice Address |
366 Greenfield Ave Eugene OR 97404 |
| Mailing Address |
366 Greenfield Ave Eugene OR 97404-1679 |
| Practice Telephone | (714) 767-2949 |
| Mailing Telephone | 7147672949 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2730 | OR | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2730 | OR | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
2730 | OR | Behavioral Health & Social Service Providers |
| Street Address |
366 GREENFIELD AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| 1477826295 | Michael Michel | Counselor | 550 River Road, Eugene, OR 97404 | 2012-02-10 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114454360 | Jennifer Hegg | Psychologist | 4438 Ne 90th Ave, Portland, OR 97220-5022 | 2017-05-18 |
| 1538565890 | Pamela Suzanne Buchanan | Psychologist | 1130 Sw Morrison St Ste 520, Portland, OR 97205-2216 | 2014-11-14 |
| 1508139601 | Scott Alan Senn | Psychologist | 235 E 3rd St Ste 4, Mcminnville, OR 97128-4829 | 2012-02-20 |
| 1750521258 | Alexander Maxwell Millkey | Psychologist | 6711 N Albina Ave, Portland, OR 97217-1825 | 2009-02-24 |
| 1427251727 | David Allen Oas | Psychologist | 508 Tucker St, Ashland, OR 97520-1582 | 2007-06-06 |
| 1790813079 | Eric Mitchell Johnson | Psychologist | 1942 Nw Kearney St Ste 21, Portland, OR 97209-1463 | 2007-03-01 |
| 1104909894 | David Michael Corey | Psychologist | 5285 Meadows Road, Suite 311, Lake Oswego, OR 97035-3367 | 2006-10-24 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
| 1811529357 | Leah Marie Glass | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.