person
Angelo Mario De Mattos, MD
Nephrology Physician in Portland, Oregon
NPI 1619984812

Angelo Mario De Mattos is a Nephrology Physician based in Portland, OR and is specialized in Nephrology. Angelo Mario De Mattos practices in Portland, OR and has the professional credentials of MD. The NPI Number for Angelo Mario De Mattos is 1619984812 and holds a License No. MD192424 (Oregon).

The current practice location address for Angelo Mario De Mattos is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-3442 and via fax at 503-494-5330.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1619984812
Provider Name
Angelo Mario De Mattos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-3442
Fax Number
503-494-5330
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009981565 05 AL
04808231 01 MS MISSISSIPPI MEDCAID
051524242 01 AL BLUE CROSS
009981555 05 AL
051524243 01 AL BLUE CROSS
P00159465 01 AL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-3442
Fax Number
503-494-5330
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-3442
Fax Number
503-494-5330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
MD192424 (Oregon)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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