Healthcare Provider Details

I. General information

NPI: 1801031737
Provider Name (Legal Business Name): MATTHEW ORLANDO OXILES ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 NW 20TH AVE SUITE 101
BATTLE GROUND WA
98604-4175
US

IV. Provider business mailing address

18 NW 20TH AVE SUITE 101
BATTLE GROUND WA
98604-4175
US

V. Phone/Fax

Practice location:
  • Phone: 360-952-4457
  • Fax: 360-828-7409
Mailing address:
  • Phone: 360-952-4457
  • Fax: 360-828-7409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2008034308
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: