Provider Demographics
NPI:1740356690
Name:WEST, MATTHEW F (ND)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:F
Last Name:WEST
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:631 JASON ST NE STE 100
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2357
Mailing Address - Country:US
Mailing Address - Phone:971-273-0084
Mailing Address - Fax:971-925-5123
Practice Address - Street 1:631 JASON ST NE STE 100
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2357
Practice Address - Country:US
Practice Address - Phone:503-364-1441
Practice Address - Fax:503-364-9924
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1369175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath