Individual
JAMES MICHAEL MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 SUNSET DRIVE, LAGRANDE, OR 97350
(503) 963-8421
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD09702
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077941
—
OR
Enumeration date
10/02/2006
Last updated
08/07/2008
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