Annette Marie Matthews | Portland, OR • PECOS Search

Annette Marie Matthews

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3710 SW Us Veterans Hospital Rd, V3mhd, Portland, OR 97239-2964

PECOS Enrollment

Based on the most recent information from CMS, provider Annette Marie Matthews does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104925221
Provider Type
Individual
Full Name
Matthews, Annette Marie
Title
Ms.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/22/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3710 SW Us Veterans Hospital Rd, V3mhd, Portland, OR 97239-2964

Unlisted Fax

Mailing Location

PO Box 1035, V3mhd, Portland, OR 97207

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License BM8188612 Oregon