Smith, Matthew Thomas

Smith, Matthew Thomas is an individual health care provider with primary practice located at 70 Bower Drive , Medford OR 97501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Matthew Thomas can be contacted via phone (541) 734-3430.

Contact Information

Primary practice address
70 Bower Drive Medford OR 97501
Phone: (541) 734-3430
Fax: (541) 734-3638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA159571 Oregon

Profile Details

NPI number 1174872071
LBN Legal business name Smith, Matthew Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174872071 NPPES
Oregon Other PA159571 MEDICAL LICENSE

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