Individual
MR. MATTHEW DAVID CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-2402
(541) 222-2350
Mailing address
500 W. FORT ST, # 111, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-959
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500682098
—
OR
Enumeration date
01/13/2012
Last updated
02/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us