Individual
MATTHEW HENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
2000 SE TACOMA ST APT 9, PORTLAND, OR 97202-6881
(503) 980-5221
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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