Gadbaw, Matthew J

Gadbaw, Matthew J is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gadbaw, Matthew J can be contacted via phone (503) 216-2906.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-2906
Fax: (503) 216-4114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD25158 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD25158 Oregon

Profile Details

NPI number 1558392969
LBN Legal business name Gadbaw, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 29th, 2021 - about 4 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 1558392969 NPPES
Oregon Other P00479388 RR MEDICARE
Oregon MEDICAID 275207 RR MEDICARE

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