Individual
MATTHEW J HEGEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 NE DOCTORS DR STE 5, BEND, OR 97701-6324
(541) 706-7715
(541) 706-7742
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 706-7715
(541) 706-7742
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD19543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075143
—
OR
Enumeration date
08/24/2006
Last updated
10/01/2021
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