Individual
ROBERT KEITH MATTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 SW 15TH AVE, PORTLAND, OR 97205
(503) 274-4994
(503) 274-4946
Mailing address
1627 NE THOMPSON, PORTLAND, OR 97212
(503) 274-4994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13647
OR
Other
Enumeration date
08/31/2006
Last updated
11/13/2015
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