Individual
DR. BRUCE E. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD14897
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD14897
STATE LICENSE
OR
Enumeration date
06/16/2006
Last updated
05/21/2025
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