Active NPI
Robert Martin
- Family Nurse Practitioner
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10032757
- Practice address
- 2850 SE Powell Valley Rd
Gresham, OR 97080-1494 - Phone
- (503) 666-5050
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9287512 | FL | |
| Family Nurse Practitioner | 363LF0000X | 10032757 | OR | Primary |
Addresses
Primary practice location
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Mailing address
PO Box 3777
Portland, OR 97208-3777
Other practice location 1
4475 Willa Creek Dr Apt 111
Winter Springs, FL 32708-5227
Phone (407) 247-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 NE 139TH St
Vancouver, WA 98686-2316
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050
305 SE Chkalov Dr
Suite 170
Vancouver, WA 98683-5263
Phone (360) 799-3912
Hospital & facility affiliations
- Legacy Mount Hood Medical Center
- Legacy Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6492 | MN | MD | Chiropractor |
| 9287512 | FL | MD | Family Nurse Practitioner |
| 10032757 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Legacy Salmon Creek Hospital | Past | Accepting new patients |
Locations (25 of 36)
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300
11269 Jefferson Hwy N
Champlin, MN 55316
Phone (763) 236-0600
100 State Ave
Faribault, MN 55021
Phone (507) 334-3921
5565 Blaine Ave
Ste 100
Inver Grove Heights, MN 55076
Phone (651) 241-9400
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
7373 France Ave S
Ste 208
Minneapolis, MN 55435
Phone (952) 835-1311
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
2833 Chicago Ave
Ste 406
Minneapolis, MN 55407
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
3270 W Lake St
Minneapolis, MN 55416
Phone (612) 775-1800
16725 County Road 24
Plymouth, MN 55447
Phone (763) 559-4669
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533
6350 W 143rd St
Ste 200
Savage, MN 55378
Phone (952) 428-1010
4166 Lexington Ave N
Shoreview, MN 55126
Phone (651) 241-1306
4194 Lexington Ave N
Shoreview, MN 55126
Phone (651) 483-5461
5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400
150 Emerson Ave E
West St Paul, MN 55118
Phone (651) 241-1800
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222
22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024
2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050
Organizations & group practices 9
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.
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Family Medicine Physician
- Inver Grove Heights, MN
- NPI 1083910871
-
- Clinic/Center
- St Michael, MN
- NPI 1881990521
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1861992372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 SE POWELL VALLEY RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801494",
"telephone_number": "503-666-5050"
}
],
"practiceLocations": [
{
"address_1": "4475 Willa Creek Dr Apt 111",
"address_purpose": "LOCATION",
"city": "Winter Springs",
"state": "FL",
"postal_code": "327085227",
"country_code": "US",
"telephone_number": "407-247-5810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9287512",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10032757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.