Individual provider · Type 1 NPI
Travis Matsumoto, PA
Medical Physician Assistant · Eugene, OR
NPI number
1972875334
Active
Practice location
920 Country Club Rd Ste 200A
Eugene, OR 97401-6086
Fax (541) 686-6021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA156342 (OR) |
| Medical Physician Assistant Primary | 363AM0700X | PA156342 |
Medical Physician Assistant: Definition to come...
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About NPI 1972875334
Travis Matsumoto, PA's National Provider Identifier is 1972875334, issued on Feb 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Eugene, OR. The record was last updated on Oct 31, 2014.