Individual
MATTHEW TYLER CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0698
(503) 399-2424
Mailing address
904 MALLARD ST NE, SILVERTON, OR 97381-2521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10025723
OR
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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