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
Phone: (503) 963-3030
Fax: (503) 963-3140
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487761136 | NPPES |
Oregon | MEDICAID | 028346 |
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