Active NPI
Roseanne Marie Martin, N.D.
- Naturopath
- Gresham, OR
National Provider Identifier
1114974714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1079
- Practice address
- 119 NE 3Rd St
Gresham, OR 97030-7403 - Phone
- (503) 665-9111
- Fax
- (503) 665-0110
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1079 | OR | Primary |
Addresses
Primary practice location
119 NE 3Rd St
Gresham, OR 97030-7403
Mailing address
119 NE 3Rd St
Gresham, OR 97030-7403
Phone (503) 665-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182905 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114974714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 NE 3RD ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307403",
"telephone_number": "503-665-9111",
"fax_number": "503-665-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NE 3RD ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307403",
"telephone_number": "503-665-9111",
"fax_number": "503-665-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ROSEANNE",
"middle_name": "MARIE",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182905",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.