MATTHEW HENN
NPI 1043017338
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since February 25, 2025PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Henn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW HENN (NPI 1043017338) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043017338
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW HENN
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address2000 Se Tacoma St Apt 9Portland, OR 97202-6881 · (503) 980-5221
Sole ProprietorYes
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
NPI 1043017338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Henn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Henn's NPI number?

The NPI number for Matthew Henn is 1043017338. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Matthew Henn located?

Matthew Henn practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.

What is Matthew Henn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Henn enrolled in Medicare?

Yes. Matthew Henn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Henn was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.