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NPI Code Detail

MEDICARE: MATTHEW WILLIAM KAISER PHARMD

MEDICARE:   MATTHEW WILLIAM KAISER  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16074OR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0016074OR

General Provider Information

NPI Number : 1003334103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WILLIAM KAISER PHARMD
Provider Business Mailing Address
First Line : 4550 W 11TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4550 W 11TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5414
Country : US
Telephone Number : 541-344-2720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2017
Last Update Date : 04/09/2018

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Directions to “ MATTHEW WILLIAM KAISER PHARMD” Practice Location

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