DR. BRUCE E. MATTHEWS


Address: 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868
Phone: 5414517450

DR. BRUCE E. MATTHEWS (NPI# 1851335913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851335913
Entity Type Individual
Full Name DR. BRUCE E. MATTHEWS
Credential M.D.
Practice Address 100 Mullins Dr Ste C1
Lebanon
OR 97355-2868
Practice Telephone 5414517450
Practice Fax Number 5414517454
Mailing Telephone 5414517450
Mailing Fax Number 5414517454
Enumeration Date 2006-06-16
Last Update Date 2020-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
MD14897 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR STATE LICENSE MD14897 01

Other Providers BRUCE MATTHEWS

NPI Name Taxonomy Address Enumeration
1659559854 Bruce Andrew Matthews Dentist 1225 South Main St, Wellington Square Suite 106, Greensburg, PA 15601 2008-02-11
1649567322 Bruce R Matthews Massage Therapist 16111 Se Mcgillivray Blvd Ste A, Vancouver, WA 98683-9033 2011-07-01
1134283344 Bruce Matthews Radiology 3291 Loma Vista Rd, Ventura, CA 93003-3099 2006-12-21
1427137363 Bruce E. Matthews Dentist 1403 Silverside Rd, Suite A, Wilmington, DE 19810-4434 2006-11-03

Office Location

Street Address 100 MULLINS DR STE C1
City LEBANON
State OR
Zip Code 97355-2868

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316948862 Richard Hindmarsh Internal Medicine 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2005-08-09
1558925974 Joanne Trzcinski Counselor 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2019-05-01
1699270348 Neal Andre Wyatt Counselor 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2018-03-26
1003362922 Mid-valley Healthcare, Inc. Pain Medicine 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2016-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205341617 Mid-valley Healthcare Inc Internal Medicine 111 N Main St Ste A, Lebanon, OR 97355-2869 2017-12-07
1316948862 Richard Hindmarsh Internal Medicine 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 2005-08-09
1740579176 David De Gijsel Internal Medicine 1 Medical Center Dr, Dhmc Section of Infectious Disease, Lebanon, NH 03756-1000 2011-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366953861 Ortc, LLC Internal Medicine 155 Ne Revere Ave Ste 150, Bend, OR 97701-4147 2017-10-24
1619333259 Bhs Physician Services of Oregon PC Internal Medicine 601 Sw 2nd Ave Ste 2100, Portland, OR 97204-3158 2016-01-12
1730552845 Kpg Oregon, LLC Internal Medicine 486 12th Street #200, Astoria, OR 97103 2015-11-11
1568625788 William Barbee Mitchell Internal Medicine 715 Lincoln St, Eugene, OR 97401-2502 2008-07-08
1932129160 Robert John Naymik Internal Medicine 8495 Crater Lake Hwy, White City, OR 97503-3011 2006-07-20
1134145311 H Kay Wendlandt Internal Medicine 17882 Se Mcloughlin Blvd, Milwaukie, OR 97267-6103 2006-07-14
1619967577 Vern R Williams Internal Medicine 15 N Morris St, Portland, OR 97227-1541 2005-10-24

Competitor

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City LEBANON
Zip Code 97355

Improve Information

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Dataset Information

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.

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