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Individual

MATTHEW J BILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5050 NE HOY ST, SUITE 511, PORTLAND, OR 97213-2984
(503) 962-1020
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA165106
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500664025
OR
Enumeration date
10/02/2013
Last updated
10/06/2020
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