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Contact Information

MATTHEW DAVIS, DPT
9615 SW 62ND AVE
PORTLAND, OR97219-4920
 Phone: 304-671-1304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MATTHEW DAVIS · (Male)

NPI Number 1003625716
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 01/07/2025
Last updated 01/07/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 61933
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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