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NPI Code Detail

MEDICARE: MS. KAREN MARTO FNP

MEDICARE: MS. KAREN MARTO FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner081046966N1OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053358705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN MARTO FNP
Provider Business Mailing Address
First Line : 1700 SW 257TH AVE
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-1900
Country : US
Telephone Number : 503-669-6800
Fax Number : 503-492-1352
Provider Business Practice Location Address
First Line : 1700 SW 257TH AVE
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-1900
Country : US
Telephone Number : 503-669-6800
Fax Number : 503-491-2434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 10/18/2017

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