Healthcare Provider Details

I. General information

NPI: 1386672640
Provider Name (Legal Business Name): MARTIN ALAN SCHECHTER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 SW US VETS HOSPITAL RD.
PORTLAND OR
97239
US

IV. Provider business mailing address

5005 SW MILES ST
PORTLAND OR
97219-1483
US

V. Phone/Fax

Practice location:
  • Phone: 503-273-5286
  • Fax:
Mailing address:
  • Phone: 503-273-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number20688
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: