Individual
MATTHEW ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
3939 NW CLARENCE CIR, CORVALLIS, OR 97330-6548
(541) 908-3173
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
PI-0011158
OR
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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