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Individual

MATTHEW C MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-1717
(541) 564-5994
Mailing address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-1717
(541) 564-5994

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA180353
OR
363A00000X
Physician Assistant

Other

Enumeration date
05/22/2012
Last updated
11/30/2016
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