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MATTHEW SCOTT AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Mailing address
1630 WASHINGTON AVE, PORTLAND, ME 04103-2043
(207) 949-7910

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223060
ME
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/28/2020
Last updated
09/19/2022
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