Individual
JEAN K MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 402, PORTLAND, OR 97225-6631
(503) 292-7704
(503) 292-7046
Mailing address
PO BOX 3068, PORTLAND, OR 97208-3068
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD-20812
HI
207RN0300X
Nephrology Physician
Primary
MD184703
OR
207RN0300X
Nephrology Physician
MD60779483
WA
Other
Enumeration date
12/08/2005
Last updated
09/25/2025
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