Individual
MR. MATTHEW ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1118471
—
363AM0700X
Medical Physician Assistant
Primary
PA196034
OR
Other
Enumeration date
07/11/2014
Last updated
09/06/2023
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