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Individual

MATTHEW S GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
875 OAK ST SE, SUITE 1080, SALEM, OR 97301-3975
(503) 561-5294
(503) 561-4789
Mailing address
PO BOX 391, SALEM, OR 97308-0391
(503) 561-5135
(503) 561-6807

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD21157
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151111
OR
Enumeration date
07/27/2006
Last updated
02/23/2016
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