Smith, Matthew

Smith, Matthew is an individual health care provider with primary practice located at 1345 Birch Ave , Cottage Grove OR 97424-1416. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Smith, Matthew can be contacted via phone (541) 942-3939.

Contact Information

Primary practice address
1345 Birch Ave Cottage Grove OR 97424-1416
Phone: (541) 942-3939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Oregon

Profile Details

NPI number 1386092856
LBN Legal business name Smith, Matthew
Credentials QMHA- PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2016
Last updated Jun 2nd, 2016 - about 9 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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