Individual
MATTHEW J BREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4920 N INTERSTATE AVE, PORTLAND, OR 97217-3653
(503) 215-3000
(503) 215-3350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26335
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028118
—
OR
Enumeration date
06/08/2006
Last updated
10/05/2020
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