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Ethan Martinez
NPI 1518623503 · on the registry since 2021
Practice
- Address
- 320 6th St
Raymond, WA 98577 - Phone
- (111) 111-1111
- Organisation at this address
- Basics Nw Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 59
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Also registered as
- 103K00000X
106S00000X - Sex
- Male
- Record last updated
- 2021-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington