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1174728968

NPI Code Detail

MEDICARE: DR. MATTHEW LABARBERA MD

MEDICARE: DR. MATTHEW LABARBERA MD

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
1	207RI0011X	Interventional Cardiology Physician	MD185785	OR
2	207UN0901X	Nuclear Cardiology Physician	MD185785	OR
3	207R00000X	Internal Medicine Physician	MD185785	OR
4	207RC0000X	Cardiovascular Disease Physician	MD185785	OR

General Provider Information

NPI Number	:	1174728968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW LABARBERA MD

Provider Business Mailing Address
First Line	:	PO BOX 1520
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-8003
Country	:	US
Telephone Number	:	541-506-6530
Fax Number	:	541-506-6531

Provider Business Practice Location Address
First Line	:	551 LONE PINE BLVD
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-9403
Country	:	US
Telephone Number	:	541-506-6530
Fax Number	:	541-506-6531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	05/11/2026

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Directions to “ DR. MATTHEW LABARBERA MD” Practice Location

Language	Start Address	Practice Location

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