Matthew Dally
Matthew Dally is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3098
Phone: (503) 494-8211
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1578266961 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
| Mailing address | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 |
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Dean John Hendrix Taboga Dante, MD
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098 · (503) 494-8211