MEDICARE: JESSICA LYNN MARTINI MS RDN

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
1	133V00000X	Registered Dietitian	LD-D-000864	OR

General Provider Information

NPI Number	:	1275038234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN MARTINI MS RDN

Provider Business Mailing Address
First Line	:	4524 SE 36TH PL
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-3223
Country	:	US
Telephone Number	:	503-577-9189
Fax Number	:	503-577-9189

Provider Business Practice Location Address
First Line	:	4524 SE 36TH PL
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-3223
Country	:	US
Telephone Number	:	503-577-9189
Fax Number	:	503-577-9189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	03/29/2018

Similar Medicare Providers

1386872927 — DANIELLE APRIL LANIER L.M.T.
Practice Location Address:

3223 SE 52ND AVE
PORTLAND, OR
97206-2115

Practice Phone: 503-260-5059
Practice Fax:

1750720652 — ANNA BRITTANY DENNIS M.S., CGC
Practice Location Address:

707 SW GAINES ST , ROOM 3223
PORTLAND, OR
97239-2901

Practice Phone: 503-494-0431
Practice Fax: 503-494-9199

1558791871 — JACY SAUCEDO
Practice Location Address:

14781 SW 109TH AVE APT 3
PORTLAND, OR
97224-3223

Practice Phone: 503-235-0021
Practice Fax:

1891307807 — LESLIE ELIZABETH TALARICO
Practice Location Address:

3223 SE 118TH AVE
PORTLAND, OR
97266-1607

Practice Phone: 503-936-3368
Practice Fax:

1821822206 — TRINA A COFFIN
Practice Location Address:

3223 SE 92ND AVE
PORTLAND, OR
97266-1922

Practice Phone: 971-364-8346
Practice Fax:

1477485688 — WADE GASQUE
Practice Location Address:

1235 SE DIVISION ST STE 201B
PORTLAND, OR
97202-1099

Practice Phone: 503-784-2377
Practice Fax:

Directions to “ JESSICA LYNN MARTINI MS RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.