Individual
MATTHEW JAMES DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD158646
OR
208M00000X
Hospitalist Physician
MD158646
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648679
—
OR
01
—
P01132751
MEDICARE RAILROAD
OR
Enumeration date
05/05/2009
Last updated
01/10/2022
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