Female

Maria Rochelle C. Martin MD

Family Medicine Physician in Bonney Lake, WA(View on Map)

Full Name

Maria Rochelle Carreon Martin MD

NPI Number

1568620227

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/29/2008

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Michigan
New Jersey
Washington

License Number

4301091747
25MA08438100
MD60120795

Contact
Information

Purpose

Mailing
Location

Address

9230 SKY ISLAND DR E
9230 SKY ISLAND DR E

City

Bonney Lake
Bonney Lake

State

WA
WA

Postal Code

98391-7385
98391-7385

Country

US
US

Telephone Number

(253) 750-6000
(253) 750-6000

Identifiers

Identifier

2005491

Identifier State

WA

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mmartin662612@fhsce.catholichealth.net

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

Y

Endpoint Location

Franciscan Medical Group9230 Sky Island Dr EBonney Lake, WA983917385US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/15/2021

Provider Address

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