MEDICARE: DR. MATTHEW SEAN EDMONDS M.D.

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	207Q00000X	Family Medicine Physician	MD154210	OR
2	207Q00000X	Family Medicine Physician	A118791	CA

General Provider Information

NPI Number	:	1629242854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW SEAN EDMONDS M.D.

Provider Business Mailing Address
First Line	:	803 MAIN ST STE 201
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-6072
Country	:	US
Telephone Number	:	458-327-0733
Fax Number	:	458-206-7551

Provider Business Practice Location Address
First Line	:	803 MAIN ST STE 201
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-6072
Country	:	US
Telephone Number	:	458-327-0733
Fax Number	:	458-206-7551

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

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	03/09/2026

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