Lilley, Matthew Raymond
Lilley, Matthew Raymond is an individual health care provider with primary practice located at 2200 Ne Neff Rd Ste 200 , Bend OR 97701-4281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lilley, Matthew Raymond can be contacted via phone (541) 382-3344.Contact Information
Primary practice address
2200 Ne Neff Rd Ste 200
Bend OR 97701-4281
Phone: (541) 382-3344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 178069 | Oregon |
Profile Details
| NPI number | 1003166612 |
|---|---|
| LBN Legal business name | Lilley, Matthew Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2012 |
| Last updated | May 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003166612 | NPPES |
| Oregon | Other | 178069 | OREGON MEDICAL BOARD |
| Oregon | Other | 60659856 | OREGON MEDICAL BOARD |
| Oregon | Other | 122323 | OREGON MEDICAL BOARD |
| Oregon | MEDICAID | 500730702 | OREGON MEDICAL BOARD |
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