Healthcare Provider Details

I. General information

NPI: 1265240139
Provider Name (Legal Business Name): DAWN MARTEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 FORD RD
JOHN DAY OR
97845-2009
US

IV. Provider business mailing address

33132 AIRPORT LN
BURNS OR
97720-2522
US

V. Phone/Fax

Practice location:
  • Phone: 541-575-1311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: