Patrick R Martin, MS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

12655 SW Center St Ste 100
Beaverton, OR 97005-1600

Phone

(971) 224-6319

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1669090478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FOOTHILLS RD APT E",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343169",
            "telephone_number": "503-841-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051600",
            "telephone_number": "971-224-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L Marshall, MSW LCSW
• Mary K Marshall, ANP
• Natalie Ella Marshburn, PHARMD
• Anna Marie Marsonette
• Ashley Elizabeth Martin, LMT
• Felipa Martinez Contreras
• Jose Luis Martinez-Alcoser III
• Joanna Martinez, LMT
• Mario Martinez, MBA
• Rocio Martinez

• Community/Behavioral Health Agency in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.