Matsuba, Kevin K

Matsuba, Kevin K is an individual health care provider with primary practice located at 2314 Nw Kings Blvd , Corvallis OR 97330-3925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Matsuba, Kevin K can be contacted via phone (541) 758-5047.

Contact Information

Primary practice address
2314 Nw Kings Blvd Corvallis OR 97330-3925
Phone: (541) 758-5047
Fax: (541) 758-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD24745 Oregon

Profile Details

NPI number 1376500710
LBN Legal business name Matsuba, Kevin K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 1st, 2021 - about 5 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 1376500710 NPPES
Oregon MEDICAID 297559

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