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NPI Code Detail

MEDICARE: DR. MATTHEW V REID M.D.

MEDICARE: DR. MATTHEW V REID M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD28625OR

General Provider Information

NPI Number : 1861461782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW V REID M.D.
Provider Business Mailing Address
First Line : 3550 N INTERSTATE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1196
Country : US
Telephone Number : 503-331-2461
Fax Number :
Provider Business Practice Location Address
First Line : 3550 N INTERSTATE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1196
Country : US
Telephone Number : 503-331-2461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 01/31/2022

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