Matsumoto, Travis

Matsumoto, Travis is an individual health care provider with primary practice located at 920 Country Club Rd Ste 200A , Eugene OR 97401-6086. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Matsumoto, Travis can be contacted via phone (541) 242-4220.

Contact Information

Primary practice address
920 Country Club Rd Ste 200A Eugene OR 97401-6086
Phone: (541) 242-4220
Fax: (541) 686-6021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA156342 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA156342

Profile Details

NPI number 1972875334
LBN Legal business name Matsumoto, Travis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2012
Last updated Oct 31st, 2014 - about 10 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 1972875334 NPPES
Oregon Other PA156342 STATE LICENSE

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