Martha Ann Damato, LMT
Individual provider Active NPI Contractor · Tigard, OR
NPI 1659606846 · NPPES record last updated Oct 6, 2009
Key facts
- NPI
- 1659606846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 9161 (OR)
- Practice address
- 10500 SW Greenburg Rd
Tigard, OR 97223-1406 - Phone
- (503) 684-9698
- NPI assigned
- Oct 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9161 | OR | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 9161 | OR | Yes |
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
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.