SearchOregon390200000X

Matt Glaus

NPI 1609253004 · on the registry since 2015

Practice

Address
205 Nw 11th St
Apt 1
Corvallis, OR 97330
Phone
(503) 508-5808

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-05

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