Dr. Bruce E. Matthews
Internist - Addiction Medicine
100 Mullins Dr Ste C1
Lebanon
, Oregon 97355-2868
Dr. Bruce E. Matthews
Internist - Addiction Medicine
100 Mullins Dr Ste C1
Lebanon
, Oregon 97355-2868
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Bruce E. Matthews
- Po Box 1193
- Corvallis, OR
- Zip : 97339-1193
- Phone :
Second Address
- Dr. Bruce E. Matthews
- 100 Mullins Dr Ste C1
- Lebanon, OR
- Zip : 97355-2868
- Fax : (541) 451-7454
- Phone : (541) 451-7450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | MD14897 | OR |
National Provider Identifier
| NPI | 1851335913 |
|---|---|
| Provider Name | Dr. Bruce E. Matthews |
| First Address | Corvallis, OR 97339-1193 |
| Second Address | Lebanon, OR 97355-2868 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 10/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D72877 | (02) | OR |
| MD14897 | STATE LICENSE (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.