Individual
MATTHEW L HINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 NE MARY ROSE PL STE 120, BEND, OR 97701-7132
(505) 661-4147
Mailing address
2450 NE MARY ROSE PL, STE 120, BEND, OR 97701-7132
(541) 382-3100
(541) 385-4935
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD2010-0006
NM
207Y00000X
Otolaryngology Physician
Primary
MD2010-006
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34938200
—
WI
01
—
60612
DEAN HEALTH INSURANCE
—
Enumeration date
05/13/2006
Last updated
11/12/2020
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