Individual
DR. MATTHEW MAXWELL KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 757-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD26009
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213509
—
OR
05
—
8429359
—
WA
01
—
P00412469
RR MEDICARE
OR
Enumeration date
05/17/2006
Last updated
07/24/2023
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