Taylor, Matthew Alan

Taylor, Matthew Alan is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Taylor, Matthew Alan can be contacted via phone (541) 754-1276.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301092764 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301092764 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD181955 Oregon

Profile Details

NPI number 1235392580
LBN Legal business name Taylor, Matthew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235392580 NPPES
Oregon MEDICAID 500728926

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