Individual
MATTHEW ONDERDONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1315 NW 4TH ST, SUITE B, REDMOND, OR 97756-1328
(541) 504-2350
(541) 504-2354
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05736
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668735
—
OR
01
—
P01338733
RR MEDICARE
OR
Enumeration date
11/14/2013
Last updated
07/21/2016
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