Individual
MR. MATTHEW C JOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 814-8272
Mailing address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 814-8272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704303766
MI
363L00000X
Nurse Practitioner
4704303766
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
202105083NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020127644
AMERICAN NURSES CREDENTIALING CENTER NP CERTIFICATION
—
01
—
202105083NP-PP
NURSE PRACTITIONER LICENSE
OR
01
—
4704303766
REGISTERED NURSE LICENSE NUMBER
MI
Enumeration date
05/06/2019
Last updated
02/24/2023
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