Individual
THOMAS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 HIGHWAY 82, ENTERPRISE, OR 97828-6011
(541) 426-4524
Mailing address
BOX 541, WALLOWA, OR 97885
(541) 426-4524
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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