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MR. MATTHEW JAMES LUTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
501 N GRAHAM ST, PORTLAND, OR 97227-1654
(503) 413-1600
(503) 413-1915
Mailing address
501 N GRAHAM ST, PORTLAND, OR 97227-1654
(503) 413-1600
(503) 413-1915

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
201502977
OR

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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