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Dwight Matson
NPI 1508125022 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3250 Leif Erikson Dr
Astoria, OR 97103 - Phone
- (503) 338-0291
- Organisation at this address
- Safeway Inc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon