NPI 1003107699

Mikel Matto, MD

Practitioner Psychiatry Physician Portland, OR

Practice location

Address: 2214 Lloyd Ctr, Portland, OR 97232-1311
Phone: (503) 494-4222
Fax: (503) 494-6143
Mailing address: 1400 SW 5th Ave STE 500, Portland, OR 97201-5537

Registered specialties (3)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 207172 (OR)

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Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence A122499 (CA)

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 61207081 (WA)

Registry record

NPI: 1003107699
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2011
Record last updated: 25 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.