MATTHEW PAUL KEESLAR PA-C NPI 1295283380

NPI Information

NPI: 1295283380
Provider Name: MATTHEW PAUL KEESLAR, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: EXPRESS CARE OR PC

PECOS Registration: Yes

Address:
3303 SW BOND AVE STE 10
PORTLAND, OR
ZIP 97239
Phone: (503) 346-1500
Get Directions

Matthew Paul Keeslar, PA-C is a surgical physician assistant in Portland, OR with 6 years of experience. Matthew Paul Keeslar, PA-C NPI is 1295283380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3303 SW BOND AVE STE 10
PORTLAND, OR
ZIP 97239-501
Phone: (503) 346-1500
Fax: (503) 494-8671

The NPI 1295283380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2016 and was last updated on 10/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA188921	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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