Individual
DYLAN RAY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
Mailing address
520 SW RAMSEY AVE, GRANTS PASS, OR 97527-5535
(541) 472-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO226103
OR
390200000X
Student in an Organized Health Care Education/Training Program
1922748102
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG210858
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG210858
—
OR
Enumeration date
03/29/2022
Last updated
07/02/2025
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