Vincent Martin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19680 Issued in OR

Practice address

210 SW 17TH Avenue
Portland, OR 97209

Phone

(971) 407-3066

NPI assigned

May 21, 2019

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

State licenses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1972160455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SW WASHINGTON ST STE 304",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042234",
            "telephone_number": "503-752-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW 17TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "971-407-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 SW Washington St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972042234",
            "country_code": "US",
            "telephone_number": "503-752-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VINCENT",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Martin, LCSW
• Teddy Martin, LMT
• Tristan Vittorio Martin, DMD
• Vernon Arthur Martin, L.D.
• Victoria Martin
• Virginia Martin
• Wendi Renae Martin
• Wendy Vannessa Martin, CADCII
• Bree-Lyn Martindale, DPT
• Elsbeth Jean Martindale, PSY.D.

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.