| Matthew P Evitts, DO | |
|
525 Nw 2nd St, Corvallis, OR 97330-6487 | |
| (541) 250-5994 | |
| (541) 638-4002 |
| Full Name | Matthew P Evitts |
|---|---|
| Gender | Male |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 31 Years |
| Location | 525 Nw 2nd St, Corvallis, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952368318 | NPI | - | NPPES |
| 287713 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DO22877 (Oregon) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | DO22877 (Oregon) | Primary |
| Entity Name | Diagnostic Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053368563 PECOS PAC ID: 4183510902 Enrollment ID: O20040226000956 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20101115001107 |
| Entity Name | Central Valley Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275523169 PECOS PAC ID: 8628064953 Enrollment ID: O20180213002000 |
| Entity Name | Salinas Valley Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811950504 PECOS PAC ID: 3375536949 Enrollment ID: O20181018001175 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20190520002175 |
| Entity Name | Fulcrum Osteopathic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033857842 PECOS PAC ID: 4688053093 Enrollment ID: O20220615001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew P Evitts, DO 525 Nw 2nd St, Corvallis, OR 97330-6487 Ph: (541) 250-5994 | Matthew P Evitts, DO 525 Nw 2nd St, Corvallis, OR 97330-6487 Ph: (541) 250-5994 |