Martin Maurus Kidwell, DAOM, LAC is a
Acupuncturist based in Gladstone, Oregon. Martin Maurus Kidwell is licensed to practice in Oregon (license number AC01116) and his current practice location is
685 Portland Ave, Gladstone, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 891-2352.
NPI number for Martin Maurus Kidwell is 1508999061 and his current mailing address is 5240 Se King George Ct, Milwaukie, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508999061.
Healthcare Provider's Profile
Full Name | Martin Maurus Kidwell |
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Gender | Male |
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Speciality | Acupuncturist |
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Location | 685 Portland Ave, Gladstone, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508999061
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 04/05/2024
Medical Identifiers
Medical identifiers for Martin Maurus Kidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508999061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC01116 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martin Maurus Kidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martin Maurus Kidwell, DAOM, LAC 5240 Se King George Ct, Milwaukie, OR 97267-6132 Ph: (503) 891-2352 | Martin Maurus Kidwell, DAOM, LAC 685 Portland Ave, Gladstone, OR 97027-2117 Ph: (503) 891-2352 |
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