Fedor, Matthew C

Fedor, Matthew C is an individual health care provider with primary practice located at 610 Hawthorne Ave Se Ste 110 , Salem OR 97301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Fedor, Matthew C can be contacted via phone (503) 814-4440.

Contact Information

Primary practice address
610 Hawthorne Ave Se Ste 110 Salem OR 97301
Phone: (503) 814-4440
Fax: (503) 814-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD27542 Oregon

Profile Details

NPI number 1235225624
LBN Legal business name Fedor, Matthew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235225624 NPPES
Oregon MEDICAID 274652
Oregon Other R152647

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