Taylor, Matthew Alan
Taylor, Matthew Alan is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Taylor, Matthew Alan can be contacted via phone (541) 754-1276.Contact Information
Primary practice address
3680 Nw Samaritan Dr
Corvallis OR 97330-3737
Phone: (541) 754-1276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301092764 | Michigan |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 4301092764 | Michigan |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD181955 | Oregon |
Profile Details
| NPI number | 1235392580 |
|---|---|
| LBN Legal business name | Taylor, Matthew Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1235392580 | NPPES |
| Oregon | MEDICAID | 500728926 |
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