Mr. Matthew Abbott, PA-C
Physician Assistant, Medical in Portland, Oregon
1154738003- Practice location
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone
- 503-494-7551
- Fax
- —
- Last updated
- September 6, 2023
Mr. Matthew Abbott, PA-C is a Physician Assistant, Medical based in Portland, OR. Mr. Matthew Abbott, PA-C holds the professional credentials of PA-C. The NPI number for Mr. Matthew Abbott, PA-C is 1154738003 and holds license No. 1118471. The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and the office can be reached by phone at 503-494-7551. The NPI was assigned on July 11, 2014 and the record was last updated in NPPES on September 6, 2023.
●Provider Profile Details
- NPI Number
- 1154738003
- Provider Name
- Matthew Abbott
- Credential
- PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Enumeration Date
- July 11, 2014
- Last Update Date
- September 6, 2023
- Certification Date
- September 6, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- Oregon
- ZIP
- 97239-3011
- Country
- US
- Phone Number
- 503-494-7551
✉Business Mailing Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- OR
- ZIP
- 97239-3011
- Phone Number
- 503-494-7551
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | No | 1118471 | — |
| Physician Assistant, Medical | 363AM0700X | Yes | PA196034 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Mr. Matthew Abbott, PA-C?
The NPI number of Mr. Matthew Abbott, PA-C is 1154738003. It was assigned on July 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Matthew Abbott, PA-C?
Mr. Matthew Abbott, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. 1118471.
Where does Mr. Matthew Abbott, PA-C practice?
The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-494-7551 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154738003 directly on the NPPES registry website at npiregistry.cms.hhs.gov.