William Blake Matlock, MSPT

Physical Therapist · Bend, OR

Individual Active NPI

NPI number 1013228295

Practice location

1693 SW Chandler Ave
Suite 140
Bend, OR 97702-3236
Phone
(541) 390-0523
Fax
(541) 787-4383

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NPI record

NPI
1013228295
Entity type
Individual (Type 1)
Enumeration date
June 23, 2010
Last updated
April 14, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 4366 OR

Mailing address

PO Box 72
Bend, OR 97709-0072
Phone
(541) 390-0523
Fax
(541) 787-4383

About William Matlock

William Blake Matlock, MSPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1693 SW Chandler Ave, Suite 140, Bend, OR 97702-3236. The NPI number 1013228295 was assigned on June 23, 2010 and the record was last updated on April 14, 2016.

William Matlock lists a license in the registry: #4366 (OR) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Blake Matlock, MSPT?

The NPI number is 1013228295.

What is the phone number of William Matlock?

The phone number listed for the practice location is (541) 390-0523.

Where is William Matlock located?

1693 SW Chandler Ave, Suite 140, Bend, OR 97702-3236.

What is the taxonomy code for William Matlock?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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