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Individual

MATTHEW RYAN RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 N GRAHAM ST, SUITE 420, PORTLAND, OR 97227-1683
(503) 281-5139
(503) 249-3782
Mailing address
300 N GRAHAM ST, SUITE 420, PORTLAND, OR 97227-1683
(503) 281-5139
(503) 249-3782

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD23166
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269833
OR
05
8433450
WA
Enumeration date
04/12/2006
Last updated
11/05/2008
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