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General NPI Number Information
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NPI Number | 1881679397
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Entity Type | Individual
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Provider Name | TROY M MARTIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 10631 EIGHTH AVENUE NORTHEAST KINDRED HOSPITAL SEATTLE
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City | SEATTLE
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State | WA
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Zip | 98125
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Country | US
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Telephone | 206-361-7431
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Fax | 206-361-7452
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Provider Business Mailing Address
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Address Line | PO BOX 50150
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City | BELLEVUE
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State | WA
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Zip | 98015-0150
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Country | US
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Telephone | 425-228-5228
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Fax | 425-228-5733
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60002235
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD11639
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD60002235
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License Number State | WA
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