Provider Demographics
NPI:1073532370
Name:FREEDMAN, MATTHEW D (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85343 N HIDEAWAY HILLS RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-9013
Mailing Address - Country:US
Mailing Address - Phone:541-844-6924
Mailing Address - Fax:541-762-5633
Practice Address - Street 1:85343 N HIDEAWAY HILLS RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-9013
Practice Address - Country:US
Practice Address - Phone:541-844-6924
Practice Address - Fax:541-762-5633
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0261950Medicaid
CAU77422Medicare UPIN
CADC0261950Medicaid