Individual
DR. MATTHEW RYAN KATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 E A ST, RAINIER, OR 97048-3132
(503) 556-2212
Mailing address
5400 NE RODNEY AVE, PORTLAND, OR 97211-2642
(971) 506-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6851
NE
122300000X
Dentist
Primary
D9561
OR
Other
Enumeration date
06/22/2009
Last updated
03/19/2013
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