Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick E Martin Sr.

Individual provider Mental Health Counselor · NPI 1396031209

Derrick E Martin Sr. is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

55 NE Grand Ave
Portland, OR 97232
Phone: (510) 337-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1396031209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESJune 20, 2011

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