Individual
MATTHEW SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD22211
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD22211
OR
207XX0801X
Orthopaedic Trauma Physician
MD22211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134412
—
OR
01
—
200037358
MC RAILROAD
OR
Enumeration date
07/29/2005
Last updated
07/27/2020
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