DR. MATTHEW SEAN EDMONDS (NPI# 1629242854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629242854 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SEAN EDMONDS |
| Credential | M.D. |
| Practice Address |
670 County Road 83 Canby CA 97015 |
| Practice Telephone | 5302334641 |
| Practice Fax Number | 5302332830 |
| Mailing Telephone | 5302334641 |
| Mailing Fax Number | 5302332830 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD154210 | OR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | A118791 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
670 COUNTY ROAD 83 |
| City | CANBY |
| State | CA |
| Zip Code | 97015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063153 | I'sot Inc | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2005-06-20 |
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1376909770 | Sara Jeanne Marchessault | Physician Assistant | 670 County Road 83, Canby, CA 96015-0125 | 2016-01-14 |
| 1316327414 | Mickey Cole | Dental Hygienist | 670 County Road 83, Canby, CA 96015 | 2015-06-03 |
| 1316172034 | Joey Chou-yie Chen | Dentist | 670 County Road 83, Canby, CA 96015 | 2009-05-26 |
| 1225180649 | John Nicholas Bardonner IIi | Dentist | 670 County Road 83, Canby, CA 96015-9722 | 2007-01-17 |
| 1760473706 | Susan Adele Burger | Dental Hygienist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-31 |
| 1053301689 | Lorna K Boland | Registered Nurse | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1467442079 | Virginia L Hassler | Nurse Practitioner | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1841280435 | Raymond P Mandel | Psychologist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669679932 | Davies Clinic, PC | Family Medicine | 345 N. Grant St, Canby, OR 97013 | 2007-06-29 |
| 1336367507 | Trent B. Warren, M.d., P.C. | Family Medicine | 1507 Se 3rd Ct, Canby, OR 97013-4560 | 2007-04-23 |
| 1023183167 | Health Practitioner Clinic LLC | Family Medicine | 143 Nw 4th Ave, Canby, OR 97013 | 2006-11-22 |
| 1245328418 | Trent B Warren | Family Medicine | 1507 Se Third Ave, Canby, OR 97013-4560 | 2006-10-11 |
| 1477668135 | Doctors Office of Canby PC | Family Medicine | 158 Sw 2nd Ave, Canby, OR 97013-4152 | 2006-08-20 |
| 1912937723 | Amanda S Gay | Family Medicine | 142 Sw 2nd Ave, Canby, OR 97013-4152 | 2006-07-04 |
| 1124094099 | Elisabeth Scott | Family Medicine | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2006-02-28 |
| 1326039892 | Shawn A Ewbank | Family Medicine | 452 Nw 1st Ave, Canby, OR 97013-3532 | 2005-11-02 |
| 1669478277 | Joanna Anders | Family Medicine | 345 N Grant St, Canby, OR 97013-3610 | 2005-06-28 |
| 1588212906 | Nathan Denson Savage-lee | Family Medicine | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2019-08-28 |
| Find all providers in CANBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.