Individual provider · Type 1 NPI
Matthew Atkinson
Federally Qualified Health Center (FQHC) · Corvallis, OR
NPI number
1063776441
Active
Practice location
530 NW 27th St
Corvallis, OR 97330-5223
Fax (541) 766-6186
Mailing address
3939 NW Clarence Cir
Corvallis, OR 97330-6548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | PI-0011158 (OR) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1063776441
Matthew Atkinson's National Provider Identifier is 1063776441, issued on Jun 29, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Corvallis, OR. The record was last updated on Jun 29, 2012.