Active NPI
Toresa Martell, D.O.
- Psychiatry Physician
- Coos Bay, OR
National Provider Identifier
1235301474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO157402
- Practice address
- 2085 Thompson Rd
Coos Bay, OR 97420-2085 - Phone
- (541) 269-5333
- NPI assigned
- Mar 27, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO157402 | OR | Primary |
Addresses
Primary practice location
2085 Thompson Rd
Coos Bay, OR 97420-2085
Mailing address
2355 Brooklyn Dr
Coos Bay, OR 97420-1983
Phone (707) 373-1688
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429315200000",
"number": "1235301474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 BROOKLYN DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201983",
"telephone_number": "707-373-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202085",
"telephone_number": "541-269-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL",
"first_name": "TORESA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2015-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "DO157402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.