Peter Reed Martin, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 00199 Issued in OR

Practice address

715 SW Morrison St Ste 907
Portland, OR 97205-3105

Phone

(503) 294-0162

Fax

(866) 901-7829

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1235298175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST STE 907",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053105",
            "telephone_number": "503-294-0162",
            "fax_number": "866-901-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST STE 907",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053105",
            "telephone_number": "503-294-0162",
            "fax_number": "866-901-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PETER",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC 00199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie M Martin, QMHP-C
• Nathan Martin
• Nicole Micquette Martin, MD
• Paul Michael Martin
• Peter Martin, MSED, CCC-SLP
• Renee Archambault Martin, RN, BSN
• Rhiannon Martin
• Robert John Martin Jr.
• Robert Thomas Martin, M.D.
• Sarah Elizabeth Martin, LCSW

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.