Individual provider · Type 1 NPI
Matthew Dalke
Acute Care Nurse Practitioner · Portland, OR
NPI number
1629639323
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3656 SE Center St
Portland, OR 97202-3205
Other practice locations
- 335 SE 8th Ave, Hillsboro, OR 97123-4246 · (503) 681-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 201341061RN (OR) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 202009231NP-PP (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1629639323
Matthew Dalke's National Provider Identifier is 1629639323, issued on Jun 24, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2020.