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Individual

DR. MATTHEW I FOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 NW 22ND AVE, SUITE 250, PORTLAND, OR 97210-3057
(503) 413-7557
(503) 413-6547
Mailing address
2962 SW CHAMPLAIN DR, PORTLAND, OR 97205-5875
(503) 327-8272

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD21415
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227291
OR
Enumeration date
04/11/2006
Last updated
03/14/2011
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