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1174872071
MATTHEW THOMAS SMITH
MEDFORD, OR
NPI
1174872071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA159571)
Enumeration Date
2012-09-06
Last Update Date
2023-03-07
Business Address
MATTHEW THOMAS SMITH PA
70 BOWER DRIVE
MEDFORD, OR 97501
Phone number: 541-734-3430
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Mailing Address
MATTHEW THOMAS SMITH PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-734-3430
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