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Organization
BRISTOL ADVANCED ILLNESS MANAGEMENT - OREGON, L.L.C.
Active
Organization
BRISTOL ADVANCED ILLNESS MANAGEMENT - OREGON, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S EDMONDS MD (SOLE MEMBER)
(530) 640-3231
Entity
Organization
Contact information
Practice address
400 INTERNATIONAL WAY STE 200, SPRINGFIELD, OR 97477-7004
(541) 844-0151
(541) 656-2722
Mailing address
2002 TIMBERLOCH PL STE 150A, SPRING, TX 77380-1198
(281) 899-8470
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
10/20/2023
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