Individual provider · Type 1 NPI

Susannah Martell, NP

Family Nurse Practitioner · Portland, OR

NPI number 1912358730 Active

Practice location

12121 E Burnside St
Portland, OR 97216-3737

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X099000190RN (OR)
Registered Nurse 163W00000XRN61068677 (WA)
Family Nurse Practitioner Primary 363LF0000X201606933NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1912358730

Susannah Martell, NP's National Provider Identifier is 1912358730, issued on Jun 22, 2016. 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 18, 2025.