Purvis,Jr., Mattox L

Purvis,Jr., Mattox L is an individual health care provider with primary practice located at 1200 Hilyard St Ste 470, Eugene OR 97401-8107. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Purvis,Jr., Mattox L can be contacted via phone (541) 485-6478.

Contact Information

Primary practice address
1200 Hilyard St Ste 470 Eugene OR 97401-8107
Fax: (541) 485-0452
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD08565 Oregon

Profile Details

NPI number 1649275181
LBN Legal business name Purvis,Jr., Mattox L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 17 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 1649275181 NPPES
Oregon MEDICAID 150748

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