Healthcare Provider Details

I. General information

NPI: 1215315890
Provider Name (Legal Business Name): ANGELA MARTINEZ-STRENGEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N GRAHAM ST
PORTLAND OR
97227-1682
US

IV. Provider business mailing address

PO BOX 208088
NEW HAVEN CT
06520-8088
US

V. Phone/Fax

Practice location:
  • Phone: 503-413-4488
  • Fax:
Mailing address:
  • Phone: 203-785-7996
  • Fax: 203-737-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD61080964
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61680
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD198902
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: