Individual
MATTHEW D VANCAMPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
109 MCNARY ESTATES DR N, KEIZER, OR 97303
(503) 463-5231
(503) 463-5175
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3846
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298482
—
OR
Enumeration date
12/28/2005
Last updated
04/05/2018
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