Individual provider · Type 1 NPI

Samuel Ethan Marthinsen, DO

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1861954240 Active

Practice location

350 Hawthorne Ave
Oakland, CA 94609-3108

Call (510) 869-8751 Map

Other practice locations

  • Naval Air Station North Island, 601 Mccain Blvd, San Diego, CA 92135 · (619) 545-4359
  • Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 · (619) 545-4359

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X008509 (AZ)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Military Health Care Provider 171000000X008509 (AZ)
Military Health Care Provider 171000000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861954240

Samuel Ethan Marthinsen, DO's National Provider Identifier is 1861954240, issued on Apr 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Apr 9, 2024.