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Contact Information

MATT NYLEN, B.S.
3415 SE POWELL BLVD
PORTLAND, OR97202-3371
 Phone: 503-234-9591
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
Indicates primary specialty

NPI Profile & details for MATT NYLEN · (Male)

NPI Number 1205257912
Status Active
Credentials B.S.
Entity Individual
Enumeration date 12/23/2013
Last updated 12/23/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 8620684
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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