# BRISTOL ADVANCED ILLNESS MANAGEMENT - OREGON, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083364749
- **Authorized official:** DR. MATTHEW S EDMONDS MD (SOLE MEMBER)
- **Authorized official phone:** (530) 640-3231

## Contact information

- **Practice address:** 400 INTERNATIONAL WAY STE 200, SPRINGFIELD, OR 97477-7004
- **Practice address phone:** (541) 844-0151
- **Practice address fax:** (541) 656-2722
- **Mailing address:** 2002 TIMBERLOCH PL STE 150A, SPRING, TX 77380-1198
- **Mailing address phone:** (281) 899-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2022
- **Last updated:** 10/20/2023