Individual
MATTHEW P EVITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 NW 2ND ST, CORVALLIS, OR 97330-6487
(541) 250-5994
(541) 638-4002
Mailing address
525 NW 2ND ST, CORVALLIS, OR 97330-6487
(541) 250-5994
(541) 638-4002
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO22877
OR
2085R0202X
Diagnostic Radiology Physician
DO22877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287713
—
OR
Enumeration date
04/28/2006
Last updated
12/29/2023
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