| J. Norman Matschek, Dmd, P- | |
|
5440 Sw Westgate Dr Ste 390 Portland OR 97221-2449 | |
| (503) 291-7815 | |
| (503) 292-8134 |
| Full Name | J. Norman Matschek, Dmd, P- |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5440 Sw Westgate Dr Ste 390, Portland, Oregon |
| Authorized Official Name and Position | John Norman Matschek (DENTIST - PRESIDENT) |
| Authorized Official Contact | 5032917815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Norman Matschek, Dmd, P- 5440 Sw Westgate Dr Ste 390 Portland OR 97221-2449 Ph: (503) 291-7815 | J. Norman Matschek, Dmd, P- 5440 Sw Westgate Dr Ste 390 Portland OR 97221-2449 Ph: (503) 291-7815 |
| NPI Number | 1578773933 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578773933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4748 (Oregon) | Primary |
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