Evitts, Matthew P

Evitts, Matthew P is an individual health care provider with primary practice located at 525 Nw 2Nd St , Corvallis OR 97330-6487. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Evitts, Matthew P can be contacted via phone (541) 250-5994.

Contact Information

Primary practice address
525 Nw 2Nd St Corvallis OR 97330-6487
Phone: (541) 250-5994
Fax: (541) 638-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO22877 Oregon
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DO22877 Oregon

Profile Details

NPI number 1952368318
LBN Legal business name Evitts, Matthew P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952368318 NPPES
Oregon MEDICAID 287713

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