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General NPI Number Information
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NPI Number | 1184157810
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Entity Type | Individual
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Provider Name | JON CURTIS MARTIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2400 NW KINGS BLVD
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City | CORVALLIS
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State | OR
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Zip | 97330-3900
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Country | US
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Telephone | 541-757-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 NW KINGS BLVD
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City | CORVALLIS
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State | OR
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Zip | 97330-3900
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Country | US
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Telephone | 541-757-2400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2051
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO222402
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License Number State | OR
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