IndividualActive
Daniel Martino, PA-S
NPI 1770733255 · Physician Assistant · Cornelius, OR
Provider details
- NPI number
- 1770733255
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA150160 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
85 N 12th Ave
Cornelius, OR 97113-9029
Phone: (503) 352-8562
Approximate (ZIP-level) locationGet directions
Mailing address
85 N 12th Ave
Cornelius, OR 97113-9029
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.