Individual
DR. MATTHEW TRAVIS MULLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
711 NE IRVING AVE, BEND, OR 97701-4738
(541) 255-1530
(541) 219-5356
Mailing address
62472 QUAIL RIDGE RD, BEND, OR 97701-9553
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
MD189798
OR
207Q00000X
Family Medicine Physician
DR.0056225
CO
207Q00000X
Family Medicine Physician
Primary
MD189798
OR
207Q00000X
Family Medicine Physician
MD61336231
WA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD189798
OR
Other
Enumeration date
04/21/2014
Last updated
03/31/2026
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