Martins Manor

Primary specialty

Respite CareTaxonomy code 385H00000X

License

519145 Issued in OR

Legal business name

MARTINS MANOR

Practice address

1115 SW Nye Ave
Pendleton, OR 97801-9405

Phone

(541) 429-4146

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael King II

Title

Owner

Phone

(541) 429-4146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1396287702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SW NYE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-429-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SW NYE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019405",
            "telephone_number": "541-429-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINS MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-429-4146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OR",
            "license": "519145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Loraine Martin
• Amy Martin
• Karen Martin
• Alfonso Martinez
• Antonio Martinez, MHA1
• Christina Mascak, LPN
• Heather Sunshine Mason
• Kendahl Mattson, QMHA
• Bailey Mayfield
• Bruce Jay Mayfield, RPH

• Respite Care in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Respite Care in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.