Perry, Matthew Robert

Perry, Matthew Robert is an individual health care provider with primary practice located at 5317 W Baseline Rd , Hillsboro OR 97123-6447. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perry, Matthew Robert can be contacted via phone (503) 648-5522.

Contact Information

Primary practice address
5317 W Baseline Rd Hillsboro OR 97123-6447
Phone: (503) 648-5522
Fax: (503) 844-9334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1938T Oregon

Profile Details

NPI number 1518952985
LBN Legal business name Perry, Matthew Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 26th, 2008 - about 18 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 1518952985 NPPES
Alaska MEDICAID 81DF2F566E
Alaska MEDICAID 163279

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