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Contact Information

MATTHEW ABBOTT, PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-7551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW ABBOTT · (Male)

NPI Number 1154738003
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/11/2014
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • License # 1118471
  • OR License # PA196034
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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