Individual provider · Type 1 NPI

Kristin Shandel Martin, NP

Family Nurse Practitioner · Portland, OR

NPI number 1639983133 Active

Practice location

15640 NW Laidlaw Rd Ste 102
Portland, OR 97229-3828

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10035209 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1639983133

Kristin Shandel Martin, NP's National Provider Identifier is 1639983133, issued on Feb 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Apr 1, 2025.