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Individual

DR. MARYANNE MATINEE CHUMPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A143653
CA
207R00000X
Internal Medicine Physician
Primary
MD226638
OR
208000000X
Pediatrics Physician
A143653
CA
208000000X
Pediatrics Physician
MD226638
OR
208M00000X
Hospitalist Physician
A143653
CA

Other

Enumeration date
04/08/2011
Last updated
01/18/2026
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