Individual
MATTHEW PYANKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH2, PORTLAND, OR 97239-3011
(503) 494-4910
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH2, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN743272
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
10054914
OR
Other
Enumeration date
01/09/2023
Last updated
04/01/2026
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