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NPI 1760924724

NPI 1760924724 : MATTHEW M KLEIN DPT : NEWBERG, OR

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General NPI Number Information
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    NPI Number           |    1760924724
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW M KLEIN DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/08/2016
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    448 N WERTH BLVD 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-7500
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    Country              |    US
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    Telephone            |    503-554-2479
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    448 N WERTH BLVD 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-7500
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    Country              |    US
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    Telephone            |    503-554-2479
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    64435
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    292428
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    License Number State |    CA
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