Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508999061 Individual Practitioner Male Practitioner

Martin Maurus Kidwell , DAOM, LAC

Acupuncturist • Gladstone, OR

Professional Overview & Biography Verified Profile Summary

Martin Kidwell, DAOM, LAC is a registered healthcare professional specializing in Acupuncturist in Gladstone, OR. Practice services are available at 685 PORTLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

685 Portland Ave

Gladstone, OR 970272117

Telephone 5038912352
Fax 5036552146
Associated Practice Facility / Clinic
🏢 Keystone Chiropractic Llc Facility NPI 1811246259

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Gladstone, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Gladstone, OR (1579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-05
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR AC01116

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sandra Roskott , LCSW, MSW

Social Worker - Clinical

NPI 1164907796

Licensed Clinical Social Worker, Master of Social Work

NPI 1508006537

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 05, 2024

Registered at 685 PORTLAND AVE, GLADSTONE, OR 970272117 (Tel: 5038912352)

📍
Updated Practice Location July 26, 2022

Registered at 9735 SW SHADY LN STE 306, TIGARD, OR 972235481 (Tel: 5038912352)

📍
Updated Business Mailing Address July 26, 2022

Registered at 5240 SE KING GEORGE CT, MILWAUKIE, OR 972676132 (Tel: 5038912352)

👤
Provider Name / Credentials Updated July 26, 2022

Recorded as MARTIN KIDWELL, DAOM, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Acupuncturist (License #AC01116 in OR)

NPI Profile Active February 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2008

Registered at 6235 NE 30TH AVE, PORTLAND, OR 972116737 (Tel: 5038912352)

📍
Updated Business Mailing Address February 24, 2008

Registered at 6235 NE 30TH AVE, PORTLAND, OR 972116737 (Tel: 5038912352)

👤
Provider Name / Credentials Updated February 24, 2008

Recorded as MARTIN KIDWELL, M.S., L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2008

Acupuncturist (License #AC01116 in OR)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508999061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: April 05, 2024
Sole Proprietor: Yes

Mailing Address

5240 Se King George Ct

Milwaukie, OR 972676132

Phone: 5038912352

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.