Individual provider Active NPI

Ryan Martin, N.D.

  • Naturopath
  • Tigard, OR
National Provider Identifier
1669842340
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
3010 Issued in OR
Practice address
11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473
Phone
(503) 748-2552
Fax
(503) 597-1096
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 3010 OR Primary

Addresses

Primary practice location

11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473

Mailing address

11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473
Phone (503) 748-2552

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

LicenseStateTypeSpecialty
3010ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan David Martin Naturopath CurrentSince Feb 19, 2023 Accepting new patients

Locations

308 N Villa Rd
Ste 116
Newberg, OR 97132
Phone (503) 538-3000

Interoperability endpoints

  • Direct secure messaging: ryan.martin.1@20071.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1669842340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 SW DURHAM RD STE B9",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243473",
            "telephone_number": "503-748-2552",
            "fax_number": "503-597-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 SW DURHAM RD STE B9",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243473",
            "telephone_number": "503-748-2552",
            "fax_number": "503-597-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3010",
            "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, 2015; 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.