Provider Demographics
NPI:1508431750
Name:TURNER, MATTHEW COLE (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:COLE
Last Name:TURNER
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 1:1544 COMMERCIAL ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4310
Mailing Address - Country:US
Mailing Address - Phone:503-362-7064
Mailing Address - Fax:
Practice Address - Street 1:4630 RIVER RD N STE A
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-4648
Practice Address - Country:US
Practice Address - Phone:503-304-2225
Practice Address - Fax:503-304-2226
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR6150OtherOREGON LICENSE