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Contact Information

MATTHEW T SMITH, PA
70 BOWER DRIVE
MEDFORD, OR97501
 Phone: 541-734-3430
 Fax: 541-734-3638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW T SMITH · (Male)

NPI Number 1174872071
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/06/2012
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA159571
  • OR Other PA159571 MEDICAL LICENSE
Hospital affiliation(s)
  • PROVIDENCE MEDFORD MEDICAL CENTER - (Acute Care)
    1111 CRATER LAKE AVENUE
    MEDFORD, OR 97504
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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