Individual
DR. MATTHEW THOMAS WEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
207R00000X
Internal Medicine Physician
MD158072
OR
207RG0100X
Gastroenterology Physician
Primary
MD158072
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648657
—
OR
01
—
P01112277
MEDICARE RAILROAD
OR
Enumeration date
08/21/2007
Last updated
01/29/2022
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