Gordon, Matthew S

Gordon, Matthew S is an individual health care provider with primary practice located at 875 Oak St Se Suite 1080, Salem OR 97301-3975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Gordon, Matthew S can be contacted via phone (503) 561-5294.

Contact Information

Primary practice address
875 Oak St Se Suite 1080 Salem OR 97301-3975
Fax: (503) 561-4789
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD21157 Oregon

Profile Details

NPI number 1730193830
LBN Legal business name Gordon, Matthew S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 23rd, 2016 - about 10 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 1730193830 NPPES
Oregon MEDICAID 151111

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