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NPI 1619984812

IndividualActive

Angelo De Mattos, MD

NPI 1619984812 · Nephrology Physician · Portland, OR

Provider details

NPI number: 1619984812
Entity type: Individual
Primary specialty: Nephrology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: MD192424 (OR)

Practice location

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Phone: (503) 494-3442

Fax: (503) 494-5330

More OR providers

Mailing address

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Registry dates

Enumerated: 2006-08-01
Last updated: 2019-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Angelo De Mattos, MD — NPI 1619984812, Portland, OR | NPI Central