Provider Demographics
NPI:1659976512
Name:MARTINEZ, RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 LAKEVIEW DR APT 102
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-4523
Mailing Address - Country:US
Mailing Address - Phone:562-298-0312
Mailing Address - Fax:
Practice Address - Street 1:2677 WILLAKENZIE RD STE 8
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4873
Practice Address - Country:US
Practice Address - Phone:541-543-5032
Practice Address - Fax:541-543-5032
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor