MR. MATTHEW L. CARROLL


Address: 2850 Se Powell Valley Rd, Gresham, OR 97080-1494
Phone: 5036665050

MR. MATTHEW L. CARROLL (NPI# 1346595014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346595014
Entity Type Individual
Full Name MR. MATTHEW L. CARROLL
Credential P.A.
Practice Address 2850 Se Powell Valley Rd
Gresham
OR 97080-1494
Mailing Address Po Box 3777
Portland
OR 97208-3777
Practice Telephone 5036665050
Enumeration Date 2012-07-19
Last Update Date 2017-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA180137 OR Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 200682 LA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant MPA.1778.TL SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC SOUTH CAROLINA PA LICENSE MPA.1778.TL 01
NCCPA 1102675 01
LA 2351991 05

Other Providers MATTHEW CARROLL

NPI Name Taxonomy Address Enumeration
1508325580 Matthew Carroll Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Internal Medicine, Los Angeles, CA 90095-7419 2019-03-18
1124247341 Matthew Bernard Carroll Internal Medicine 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 2007-04-25
1225139314 Matthew Carroll Psychiatry & Neurology 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 2006-09-25
1780152025 Matthew Carroll Specialist/Technologist 505 Jim Calhoun Way, Storrs, CT 06268-1728 2018-11-05
1710455209 Matthew William Carroll Behavior Technician 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 2018-11-02
1588169320 Matthew Carroll Student in an Organized Health Care Education/Training Program 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 2018-03-26
1548789175 Matthew T Carroll Physical Therapist 8796 Route 219, Brockway, PA 15824-6010 2017-09-14
1003270091 Matthew Carroll Obstetrics & Gynecology 1 Baylor Plz, Bcm610, Houston, TX 77030-3411 2016-04-06
1518283761 Matthew Carroll Pediatrics 801 7th Ave, Fort Worth, TX 76104-2733 2010-04-13
1205150968 Matthew Robert Carroll Pharmacist 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 2010-03-23

Office Location

Street Address 2850 SE POWELL VALLEY RD
City GRESHAM
State OR
Zip Code 97080-1494

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003898149 Kimberly Pohlman Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2005-11-15
1215582861 Joshua Gardner Snow Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2019-08-08
1134609043 Jennifer Stephens Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2018-08-20
1114407301 Crystal Luna Nurse Practitioner 2850 Se Powell Valley Rd, Gresham, OR 97080 2018-08-16
1295248003 Alexandra Marie Sigmon Nurse Practitioner 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2017-11-15
1427584077 Margeaux Danielle Schmerler Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080 2017-05-02
1841737889 Zubaida Abdulai Nurse Practitioner 2850 Se Powell Valley Rd, Gresham, OR 97080 2017-01-29
1154872638 Theresa Rene Jones Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080 2016-10-19
1225481906 Maci Pfaffenberger Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080 2016-07-19
1174997423 Valleyview Injury & Physical Medicine, PC Neuromusculoskeletal Medicine & OMM 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1494 2015-11-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528428554 Jeffrey Henry Lucero Social Worker 4687 Se 1st Terrace, Gresham, OR 97080 2016-03-03
1124371059 Nickole Turner Massage Therapist 2831 Se Palmquist Rd #157, Gresham, OR 97080 2012-10-16
1992061048 Russell A Wendt Pharmacist 2497 Ne Roberts Ave, Gresham, OR 97080 2012-04-03
1821385584 Angela West Counselor 320 Sw 6th Ave., Gresham, OR 97080 2011-07-01
1043543572 Natalie Dawn Wilson Behavioral Analyst 97 Sw Riverview Place, Gresham, OR 97080 2009-09-16
1427205442 Maria G Jolley Dental Hygienist 1267 Se Stapleton Loop, Gresham, OR 97080 2008-08-21
1073776738 Sabrina Joye Hindman Marriage & Family Therapist 6370 Se 26th St, Gresham, OR 97080 2008-07-03
1669676193 Kimberly Sabin Nurse Practitioner 2222 E Powell Blvd, Gresham, OR 97080 2007-06-11
1932223880 Julie Elizabeth Croshaw Pharmacist 2444 E Powell Blvd, Gresham, OR 97080 2007-03-18
1508903261 Lonetta Elise Davis Adult Companion 349 Se Plamblad, Gresham, OR 97080 2007-01-31
Find all providers in zip 97080

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285957407 Muthoni Kihiko Ehmann Physician Assistant 831 Nw Council Suite 300, Gresham, OR 97030 2010-03-02
1750337432 Danielle Florence Dalessio Physician Assistant 2850 Se Powell Valley Rd Ste 100, Attn: Meg Nau, Gresham, OR 97080-1495 2006-05-25
1760090666 Nicole Weis Physician Assistant 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 2020-07-16
1831716646 Arthur Jeffery Nelson Physician Assistant 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 2020-06-26
1265080006 Katherine Geller Physician Assistant 831 Nw Council Drive, Gresham, OR 97030-3723 2019-08-26
1215582861 Joshua Gardner Snow Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2019-08-08
1255802849 Sandra S Hwang Physician Assistant 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 2018-12-08
1134609043 Jennifer Stephens Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 2018-08-20
1427550367 Adam Randall Bartling Physician Assistant 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080-1495 2018-03-07
1427584077 Margeaux Danielle Schmerler Physician Assistant 2850 Se Powell Valley Rd, Gresham, OR 97080 2017-05-02
Find all providers in GRESHAM

Competitor

Search similar providers

City GRESHAM
Zip Code 97080

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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