Individual
DR. MATTHEW EVAN DUBROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3826 SE LAMBERT ST, PORTLAND, OR 97202-8026
(215) 888-2119
Mailing address
3826 SE LAMBERT ST, PORTLAND, OR 97202-8026
(215) 888-2119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO153705
OR
207Q00000X
Family Medicine Physician
OS010387L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903258-03
—
PA
01
—
1410907
PERSONAL CHOICE
PA
Enumeration date
02/26/2007
Last updated
01/13/2020
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