Mikel Matto, M.D.
Psychiatry & Neurology, Psychiatry in Portland, OR. Individual provider (NPI-1).
NPI number1003107699
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1003107699
- Entity type
- Individual (NPI-1)
- Name
- Mikel Matto
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2011
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 207172 | OR | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A122499 | CA | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 61207081 | WA |
Practice location
2214 Lloyd CtrPortland, OR 97232-1311
Phone 503-494-4222 · Fax 503-494-6143
Mailing address
1400 Sw 5th Ave Ste 500Portland, OR 97201-5537
Phone 866-617-6855 · Fax 503-346-8015
Other practice locations
4001 Main St Ste 318
Vancouver, WA 98663-1888
Vancouver, WA 98663-1888
Phone 039-465-4315
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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