Doctor Name: | MRS. SAMANTHA JANE MARTINEZ |
NPI Number: | 1023363892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | HS |
License Number: | B1978078 |
Business Practice Address: | 1 Ediz Hook Uscg Sfo Clinic Port Angeles, WA - 983622201 |
Business Phone Number: | 3604175894 |
Business Fax Number: | 3604175899 |
Mailing Address: | 1 Ediz Hook, Uscg Sfo Clinic PORT ANGELES |
State: | WA |
Postal Code: | 983622201 |
Phone Number: | 3604175894 |
Fax Number: | 3604175899 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | B1978078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |