Active NPI
Martha Ann Damato, LMT
- Contractor
- Tigard, OR
National Provider Identifier
1659606846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 9161
- Practice address
- 10500 SW Greenburg Rd
Tigard, OR 97223-1406 - Phone
- (503) 684-9698
- NPI assigned
- Oct 6, 2009
- Last updated
- Oct 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 9161 | OR | Primary |
Addresses
Primary practice location
10500 SW Greenburg Rd
Tigard, OR 97223-1406
Mailing address
22210 SW Murdock Rd
Apt a-3
Sherwood, OR 97140-9764
Phone (541) 914-2984
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 |
|---|---|---|---|
| 9161 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1659606846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22210 SW MURDOCK RD",
"address_2": "APT A-3",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409764",
"telephone_number": "541-914-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972231406",
"telephone_number": "503-684-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMATO",
"first_name": "MARTHA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "9161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.