Adam Marina, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12090 Issued in OR

Practice address

511 SW 10TH Ave Ste 1102
Portland, OR 97205-2712

Phone

(503) 966-2002

NPI assigned

Jun 17, 2019

Last updated

Nov 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1922668599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-966-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-966-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINA",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Marin, RPH
• Jennifer Tova Marin, L.AC
• Katherine Marin, PTA
• Nicolas Daniel Marin, MD, MPH
• Vanessa Marin, MSW
• Jennifer G Marino
• Matthew Christopher Marino, PT, MSPT
• Kurt Marion, LMT
• Carina Mariscal Diaz, MS
• Mark a Crislip

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.