Riley, Matthew Ryan
Riley, Matthew Ryan is an individual health care provider with primary practice located at 300 N Graham St Suite 420, Portland OR 97227-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Riley, Matthew Ryan can be contacted via phone (503) 281-5139.Contact Information
Primary practice address
300 N Graham St Suite 420
Portland OR 97227-1683
Phone: (503) 281-5139
Fax: (503) 249-3782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD23166 | Oregon |
Profile Details
| NPI number | 1164486759 |
|---|---|
| LBN Legal business name | Riley, Matthew Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Nov 5th, 2008 - about 17 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 | 1164486759 | NPPES |
| Oregon | MEDICAID | 269833 | |
| Oregon | MEDICAID | 8433450 |
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