Matsumura, Andrea Loran

Matsumura, Andrea Loran is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Ste 200 , Portland OR 97220-9442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Matsumura, Andrea Loran can be contacted via phone (503) 963-3030.

Contact Information

Primary practice address
1111 Ne 99Th Ave Ste 200 Portland OR 97220-9442
Fax: (503) 963-3140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD22819 Oregon
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD22819 Oregon

Profile Details

NPI number 1487761136
LBN Legal business name Matsumura, Andrea Loran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487761136 NPPES
Oregon MEDICAID 028346

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