Peter Martin, MSED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015719 Issued in OR

Practice address

13132 SE Ramona St
Portland, OR 97236-4113

Phone

(503) 256-6531

NPI assigned

May 29, 2024

Sex

Male

Sole proprietor

No

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1386484236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 SE RAMONA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364113",
            "telephone_number": "503-256-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 SE RAMONA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364113",
            "telephone_number": "503-256-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PETER",
        "credential": "MSED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Martin, LMT
• Natalie M Martin, QMHP-C
• Nathan Martin
• Nicole Micquette Martin, MD
• Paul Michael Martin
• Peter Reed Martin, L.AC.
• Renee Archambault Martin, RN, BSN
• Rhiannon Martin
• Robert John Martin Jr.
• Robert Thomas Martin, M.D.

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.