Look up the most recent NPI and PECOS records

Matthew Abbott

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Matthew Abbott is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154738003
Provider Type
Individual
Full Name
Abbott, Matthew
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/11/2014
Last Updated
9/6/2023

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7551

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA196034 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1118471

Matthew Abbott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Megia, Shailah

Walter, Molly Ann

Nixon, Carolyn Kyle

Mesa, Kendra D

Liu, Zhongfeng

Felder, Kimberly Kay

Myers, Robert A

Anderson, Molly

Eure, Ann Elizabeth

Kjornes, Briana