IndividualActive
David Martin, MA, MATS, LPC
NPI 1093078677 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1093078677
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, MATS, LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- C3306 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1210 Se Oak St
Suite 3
Portland, OR 97214-1427
Phone: (503) 880-1508
Fax: (971) 229-0928
Street-level locationGet directions
Mailing address
2704 Se Tibbetts St
Portland, OR 97202-2043
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2015-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.