Organization
COLUMBIA VIEW FAMILY HEALTH CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J DASKALOS DO (PRESIDENT / PHYSICIAN)
(503) 667-7711
Entity
Organization
Contact information
Practice address
2800 SW 257TH AVE., TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-9908
Mailing address
2800 SW 257TH AVE., TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-9908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO21257
OR
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001375
—
OR
01
—
024477000
REGENCE BLUE CROSS OF OR
—
Enumeration date
08/23/2006
Last updated
01/24/2023
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