Matrix Medical Network of Oregon, L.L.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MATRIX MEDICAL NETWORK OF OREGON, L.L.C.

Practice address

1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236

Phone

(480) 862-1677

Fax

(480) 718-7643

NPI assigned

Mar 2, 2011

Organization subpart

Yes

Parent organization

COMMUNITY CARE HEALTH NETWORK INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Alvarez

Title

Director, Credentialing

Phone

(480) 862-1695

Specialties & licenses 1

Addresses

Other names 1

• Matrix Medical Network Doing business as

Part of

Community Care Health

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1386942191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065236",
            "telephone_number": "480-862-1677",
            "fax_number": "480-718-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL NETWORK OF OREGON, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HEALTH NETWORK INC",
        "enumeration_date": "2011-03-02",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "480-862-1695"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Medical Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matrix Medical Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nevin Masri, DPT
• Master Eye Associates, P.C.
• Colleen Mathew
• Morgan Mathison, NP
• Matrix Consultants
• Volodymyr Matsenko
• Archie Cabras Matta Jr.
• Christopher Podgorski Matthews, D.O
• Julia Leinani Matthews
• Emily Devoe Mattin, RPH

• Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.