Individual
MATTHEW S OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504
(541) 779-4711
(541) 779-0796
Mailing address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 618-1485
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00043824
WA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
MD27019
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279214
—
OR
Enumeration date
11/07/2006
Last updated
07/18/2023
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