Individual
DR. MATTHEW W LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST, STE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD24369
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116027
—
OR
05
—
227023
—
OR
05
—
496269
—
AZ
05
—
807075500
—
ID
05
—
8385486
—
WA
05
—
MD4852R
—
AK
01
—
P00032718
RR MEDICARE
OR
Enumeration date
07/26/2006
Last updated
10/17/2018
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