Individual
MATTHEW J. BLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128
(503) 435-6441
(503) 434-6445
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128
(503) 435-6441
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19883
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082008
—
OR
Enumeration date
05/16/2006
Last updated
06/24/2020
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