Individual
MR. MATTHEW MICHAEL KLINEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97003-5170
(503) 646-0161
Mailing address
8815 SW 69TH AVE, PORTLAND, OR 97223-9204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10024030
OR
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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