Provider Demographics
NPI:1720255607
Name:MARTIN, RICHARD ALLEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLEN
Last Name:MARTIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 9TH AVE
Mailing Address - Street 2:# 206
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2013
Mailing Address - Country:US
Mailing Address - Phone:206-726-9115
Mailing Address - Fax:
Practice Address - Street 1:600 9TH AVE
Practice Address - Street 2:# 206
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2013
Practice Address - Country:US
Practice Address - Phone:206-726-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-10
Last Update Date:2008-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49914207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine