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Contact Information

MATTHEW GRACE
1200 NW 23RD AVE
PORTLAND, OR97210-2906
 Phone: 503-413-7074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW GRACE · (Male)

NPI Number 1144724154
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2018
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # DO222984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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