MR. VERNON ARTHUR MARTIN (NPI# 1902813348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902813348 |
| Entity Type | Individual |
| Full Name | MR. VERNON ARTHUR MARTIN |
| Credential | L.D. |
| Practice Address |
10102 Ne Glisan St Portland OR 97220-4456 |
| Mailing Address |
21506 Ne Lachenview Ln Fairview OR 97024-9737 |
| Practice Telephone | 5032575959 |
| Mailing Telephone | 5036678053 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 0516028598 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSED DENTURIST | 0516028598 | 01 |
| Street Address |
10102 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177934 | David M. Teeter | Dentist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2006-05-04 |
| 1093328726 | Leah Dixon | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2020-08-24 |
| 1871155358 | Sarah Nicole Bulkley | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-07-03 |
| 1477026466 | Bethany Kay Wynn | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-01-02 |
| 1255821575 | Yian Jan Huddleston | Dental Hygienist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-05-11 |
| 1144718040 | Diana Ngoc Dang | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-04-25 |
| 1689176026 | Marina N Globak | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-03-01 |
| 1629577580 | Denyl Elizabeth Decker | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-02-06 |
| 1356879183 | Anneda May Ormae | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| 1194253971 | Alexis Nichole Kikes | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1043595903 | Edward Espinoza Jr. | Denturist | 206 Ne 80th Ave, Portland, OR 97213-7016 | 2011-10-11 |
| 1629308648 | Theodore Keith Dhein | Denturist | 8064 S.e. Harold St., Portland, OR 97206-5148 | 2010-01-14 |
| 1417287244 | Kelly Carbone | Denturist | 980 Forest Ave Ste 104, Portland, ME 04103-3357 | 2009-12-29 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| 1952551848 | Edward Jerrold Cooper Sr. | Denturist | 4645 South East 85th Ave., Portland, OR 97266 | 2008-09-26 |
| 1669688636 | William Ollenbrook | Denturist | 3131 Se 122nd Ave, Portland, OR 97236-3209 | 2007-05-15 |
| 1558577007 | Eui Young Suk | Denturist | 9234 Ne Glisan St, Portland, OR 97220-4532 | 2007-05-14 |
| 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.