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DR. BREANN NICOLE MARTIN PSYD NPI 1053838581


NPI Information

NPI: 1053838581
Provider Name: DR. BREANN NICOLE MARTIN, PSYD
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

PECOS Registration: Yes

Address:
1400 EXECUTIVE PKWY STE 260
EUGENE, OR
ZIP 97401
Phone: (458) 215-5397
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DR. Breann Nicole Martin, PSYD is a forensic psychologist in Eugene, OR. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Breann Nicole Martin, PSYD NPI is 1053838581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 EXECUTIVE PKWY STE 260
EUGENE, OR
ZIP 97401-121
Phone: (458) 215-5397

The NPI 1053838581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 4/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist2730OREGONNo
2103TF0200XPsychologistForensic2730OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.