MRS. KIMBERLY ANNE MARTIN LPC NPI 1578738746

NPI Information

NPI: 1578738746
Provider Name: MRS. KIMBERLY ANNE MARTIN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
15 SW COLORADO AVE
SUITE 350
BEND, OR
ZIP 97702
Phone: (541) 647-8553
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MRS. Kimberly Anne Martin, LPC is a professional counselor in Bend, OR. MRS. Kimberly Anne Martin, LPC NPI is 1578738746. 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:

15 SW COLORADO AVE
SUITE 350
BEND, OR
ZIP 97702-150
Phone: (541) 647-8553
Fax: (541) 408-9016

The enumeration date for this NPI number is 4/28/2008 and was last updated on 10/13/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C2622	OREGON	Yes

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

NPI Synchronization or Removal

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