VINCENT MARTIN


Address: 210 Sw 17th Avenue, Portland, OR 97209
Phone: 9714073066

VINCENT MARTIN (NPI# 1972160455) 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) 1972160455
Entity Type Individual
Full Name VINCENT MARTIN
Credential LMT
Practice Address 210 Sw 17th Avenue
Portland
OR 97209
Mailing Address 420 Sw Washington St Ste 304
Portland
OR 97204-2234
Practice Telephone 9714073066
Mailing Telephone 5037528781
Enumeration Date 2019-05-21
Last Update Date 2019-05-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 19680 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 Sw Washington St Ste 304, Portland, OR 972042234 5037528781

Other Providers VINCENT MARTIN

NPI Name Taxonomy Address Enumeration
1811051600 Vincent Lee Martin Chiropractor 502 Gentilly Rd, Statesboro, GA 30458-5149 2006-12-19
1558729830 Vincent Martin IIi Physical Therapist 46 Barra Rd, Biddeford, ME 04005-9459 2016-02-02
1124084686 Vincent Martin Internal Medicine 222 Piedmont Avenue, Cincinnati, OH 45219 2006-04-25
1487637088 Vincent E Martin Jr. Radiology 702 N Main St, Opp, AL 36467-1626 2005-11-29

Office Location

Street Address 210 SW 17TH AVENUE
City PORTLAND
State OR
Zip Code 97209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
1699141424 Marena Passarelli Counselor 1977 Nw Overton St Ste D, Portland, OR 97209 2015-08-16
Find all providers in zip 97209

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013712 Gabriel Henriques Massage Therapist 805 Se Peacock Ln, Portland, OR 97214-3278 2020-11-07
1871193490 Heather R Anderson Massage Therapist 1646 Se Tenino St, Portland, OR 97202-6713 2020-11-01
1205435716 Michella Onnis Massage Therapist 2410 Se 10th Ave, Portland, OR 97214-4624 2020-10-26
1063019479 Kevin Thomas Ryan Massage Therapist 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 2020-10-08
1497352389 Nikki Nesta Massage Therapist 7849 Se Monroe St, Portland, OR 97222-1158 2020-10-05
1518574953 Jessica Rose Hobbs Massage Therapist 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 2020-09-29
1295340057 Shane Dylan Adair Massage Therapist 2934 Se Stephens St, Portland, OR 97214-4960 2020-09-09
1518579416 Scott Schwartz Massage Therapist 4425 S Corbett Ave, Portland, OR 97239-4260 2020-08-20
1134747074 Katrina Hubbard Massage Therapist 1515 Sw 5th Ave, Portland, OR 97201-5406 2020-07-07
1407474539 Kirstin Hoops Massage Therapist 1531 N Webster St, Portland, OR 97217-3752 2020-07-06
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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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.

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