Individual
DR. MATTIE ELIZABETH TOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420011763
VT
207Q00000X
Family Medicine Physician
Primary
MD159972
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656036
—
OR
01
—
P01307929
MEDICARE RAILROAD
OR
Enumeration date
05/01/2007
Last updated
03/29/2021
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