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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952368318 | NPPES |
| Oregon | MEDICAID | 287713 |
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