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Contact Information

MATTHEW M BOOKWALTER, DPM
800 SW 13TH AVE
PORTLAND, OR97205
 Phone: 503-221-0161
 Fax: 503-221-4451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATTHEW M BOOKWALTER · (Male)

NPI Number 1285705038
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/13/2006
Last updated 03/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP 00347
  • OR Medicaid 229013
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    2700 DOLBEER ST
    EUREKA, CA 95501
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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