Individual
MICHAEL JAMES MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Mailing address
1011 NW HIGHLANDS LOOP, WILLAMINA, OR 97396-9652
(971) 240-0434
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2423
OR
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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