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Individual

DR. MATTHEW GEORGENSON DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN67, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN 67, PORTLAND, OR 97239-3011
(503) 494-9000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL17585
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD29355
OR

Other

Enumeration date
08/26/2008
Last updated
04/15/2014
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