Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew Jared Diveronica, MD

Individual provider Hospitalist Physician · NPI 1710286901

Dr. Matthew Jared Diveronica, MD is a Hospitalist Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd # L579
Portland, OR 97239-3011
Phone: (503) 220-8262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD165935 (OR)

Record details

NPI number1710286901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESFebruary 12, 2016
Mailing address3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964

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