Individual
MATTHEW LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 COUNTRY CLUB, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Mailing address
520 COUNTRY CLUB PKWY, EUGENE, OR 97401-6043
(415) 683-5001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00034123
WA
207RH0003X
Hematology & Oncology Physician
MD00034123
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD171696
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291409
L&I
WA
05
—
1639122591
—
WA
01
—
900004086
RAILROAD MEDICARE
WA
Enumeration date
05/19/2006
Last updated
07/15/2021
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