Individual
MS. ANDREA LORAN MATSUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3036 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 283-3763
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22819
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD22819
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028346
—
OR
Enumeration date
08/25/2006
Last updated
09/09/2024
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