Individual
MATTHEW STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 734-3907
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 734-3907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
11/18/2015
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