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

Individual provider Registered Nurse · NPI 1255637237

Mr. Kellen Taverniti Martyn, CRNA is a Registered Nurse in Clackamas, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 652-2880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201160010CRNA (OR)
Registered Nurse Taxonomy 163W00000X · Licence 200541945RN (OR)

Record details

NPI number1255637237
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 11, 2011

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