Individual
MATHEWS B FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 484-4332
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD08746
OR
207UN0901X
Nuclear Cardiology Physician
Primary
MD08746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238220
—
OR
Enumeration date
06/22/2006
Last updated
04/30/2012
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