Matrix Medical Network of Oregon, L.l.c.

NPI #1386942191 in Beaverton, Oregon

Provider Information

NPI Number: 1386942191
Entity Type: Organization
Organization Name: Matrix Medical Network of Oregon, L.l.c.
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY CARE HEALTH NETWORK INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 2, 2011
Last Updated: Dec 11, 2019

Practice Location

Address: 1500 NW BETHANY BLVD STE 200
City: Beaverton
State: Oregon
ZIP Code: 97006-5236
Phone: (480) 862-1677

Authorized Official

Name: VICTORIA ALVAREZ
Title: DIRECTOR, CREDENTIALING
Phone: (480) 862-1695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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