TRAVIS MATSUMOTO


Address: 920 Country Club Rd Ste 200a, Eugene, OR 97401-6086
Phone: 5412424220

TRAVIS MATSUMOTO (NPI# 1972875334) 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) 1972875334
Entity Type Individual
Full Name TRAVIS MATSUMOTO
Credential PA
Practice Address 920 Country Club Rd Ste 200a
Eugene
OR 97401-6086
Practice Telephone 5412424220
Practice Fax Number 5416866021
Mailing Telephone 5412424220
Mailing Fax Number 5416866021
Enumeration Date 2012-02-01
Last Update Date 2014-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA156342 Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA156342 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR STATE LICENSE PA156342 01

Office Location

Street Address 920 COUNTRY CLUB RD STE 200A
City EUGENE
State OR
Zip Code 97401-6086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427681709 Sarah Voigt Counselor 2149 Centennial Plaza Suite #4, Eugene, OR 97401 2020-02-14
1801426242 Therapeutic Associates, Inc. Physical Therapist 760 Charnelton St., Suite 760, Eugene, OR 97401 2020-01-24
1225676232 Aaron James Barber Massage Therapist 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 2019-12-20
1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1881155208 Herron Jordanna Spence Speech-Language Pathologist 385 West 2nd Ave., Eugene, OR 97401 2019-03-28
1750855094 Brandon Marshall Counselor 1158 High St Ste 202, Eugene, OR 97401 2019-01-21
1881172591 Kayla Nicole O'brien Nurse Practitioner Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 2018-08-03
1962992180 Shannon Jensen Smyth Counselor Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 2018-05-14
1902305956 Christine Noel Gray Peer Specialist 499 W. 4th Ave, Eugene, OR 97401 2018-02-06
1821507344 Anjuli Chitkara Psychologist 1679 Willamette Street, Eugene, OR 97401 2017-09-27
Find all providers in zip 97401

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023483419 Nathaniel J Collins Physician Assistant 1292 High St, Suite 224, Eugene, OR 97401 2015-12-10
1700251154 Icco LLC Physician Assistant 1292 High Street, Suite 224, Eugene, OR 97401 2015-12-10
1801060645 Christine Whitaker Physician Assistant 2868 Williamette St #100, Village Health Clinic, Eugene, OR 97405 2008-04-14
1962515213 Jennifer L. Kalata Physician Assistant 2911 Tennyson Ave Ste 201, Eugene, OR 97408 2006-08-17
1780609016 Steven Hillyer Physician Assistant 360 S Garden Way Ste 101, Eugene, OR 97401-8034 2006-07-13
1518934751 Regina M. Fiacco Physician Assistant 890 River Rd, Eugene, OR 97404-3233 2006-03-07
1154306199 Karen A Beer Physician Assistant 600 Country Club Rd, Eugene, OR 97401-2240 2005-12-13
1891247078 Riccara Wright Physician Assistant 1800 Coburg Rd, Eugene, OR 97401-4995 2016-11-04
1295138444 Jennifer Fisher Physician Assistant 1255 Hilyard St, Eugene, OR 97401-3718 2014-10-02
1376884304 Sagen Castellanos Olson Physician Assistant 890 River Rd, Eugene, OR 97404-3233 2013-03-15
Find all providers in EUGENE

Competitor

Search similar providers

City EUGENE
Zip Code 97401

Improve Information

Please comment or provide details below to improve the information on TRAVIS MATSUMOTO.

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.

Trending Searches