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Travis Matsumoto, PA
Medical Physician Assistant in Eugene, Oregon
NPI 1972875334

Travis Matsumoto is a Medical Physician Assistant based in Eugene, OR and is specialized in Medical. Travis Matsumoto practices in Eugene, OR and has the professional credentials of PA. The NPI Number for Travis Matsumoto is 1972875334 and holds a License No. PA156342 (Oregon).

The current practice location address for Travis Matsumoto is 920 Country Club Rd Ste 200A, Eugene, OR and can be reached out via phone at 541-242-4220 and via fax at 541-686-6021. You can also correspond with Travis Matsumoto through the mailing address at 920 COUNTRY CLUB RD STE 200A, EUGENE, OR - 97401-6086 (mailing address contact number: 541-242-4220).

Location: 920 Country Club Rd Ste 200A, Eugene, OR, 97401-6086
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Provider Profile Details
NPI Number
1972875334
Provider Name
Travis Matsumoto
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
920 Country Club Rd Ste 200A, Eugene, OR, 97401-6086
Phone Number
541-242-4220
Fax Number
541-686-6021
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA156342 01 OR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
920 Country Club Rd Ste 200A
City
State
Zip
97401-6086
Phone Number
541-242-4220
Fax Number
541-686-6021
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Provider Business Mailing Address Details
Address
920 Country Club Rd Ste 200A
City
State
Zip
97401-6086
Phone Number
541-242-4220
Fax Number
541-686-6021
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA156342 ()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA156342 (Oregon)
Definition
Definition to come...
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