Mathisen, Jeffrey Robert

Mathisen, Jeffrey Robert is an individual health care provider with primary practice located at 2200 Ne Neff Rd Ste 302 , Bend OR 97701-4279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mathisen, Jeffrey Robert can be contacted via phone (541) 706-6915.

Contact Information

Primary practice address
2200 Ne Neff Rd Ste 302 Bend OR 97701-4279
Phone: (541) 706-6915
Fax: (541) 706-6733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD22909 Oregon

Profile Details

NPI number 1740200484
LBN Legal business name Mathisen, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 30th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740200484 NPPES
Washington MEDICAID 8277055
Washington MEDICAID 287579

Popular Providers