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NPI Code Detail

MEDICARE: DR. MARTIN CHAD FOSTER M.D.

MEDICARE: DR. MARTIN CHAD FOSTER M.D.
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
12085R0202XDiagnostic Radiology PhysicianMD26107OR
22085R0202XDiagnostic Radiology PhysicianMD00045212WA

General Provider Information

NPI Number : 1427077874
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN CHAD FOSTER M.D.
Provider Business Mailing Address
First Line : PO BOX 848060
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-8060
Country : US
Telephone Number : 509-227-7934
Fax Number : 509-473-4992
Provider Business Practice Location Address
First Line : 810 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-1587
Country : US
Telephone Number : 541-387-8977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 03/17/2025

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