Kellogg, Matthew Maxwell

Kellogg, Matthew Maxwell is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-5472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kellogg, Matthew Maxwell can be contacted via phone (541) 757-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-5472
Phone: (541) 757-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD26009 Oregon

Profile Details

NPI number 1932151990
LBN Legal business name Kellogg, Matthew Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932151990 NPPES
Oregon MEDICAID 213509
Oregon MEDICAID 8429359
Oregon Other P00412469

Popular Providers