Provider Demographics
NPI:1801944087
Name:MARTINEZ, ROBERT M (DC, N D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DC, N D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11417 124TH AVE NE STE 103
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4677
Mailing Address - Country:US
Mailing Address - Phone:425-828-6232
Mailing Address - Fax:425-822-0880
Practice Address - Street 1:11417 124TH AVE NE STE 103
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4677
Practice Address - Country:US
Practice Address - Phone:425-828-6232
Practice Address - Fax:425-822-0880
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1670111NX0800X
WA488175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No175F00000XOther Service ProvidersNaturopath