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Active NPI 1558523514 Individual Practitioner Male Practitioner

Matthew Williams , LMT IASI

Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Matthew Williams, LMT IASI is a registered healthcare professional specializing in Specialist in Bend, OR. Practice services are available at 369 NE REVERE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

369 Ne Revere Ave
Suite B

Bend, OR 977014059

Telephone 5418489271

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
63 Specialists

Practicing in Bend, OR (1153 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 13145

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Susie Burns , LMT, NKT

Massage Therapist

NPI 1245536465

Licensed Massage Therapist, NKT

Lisa Harper , LMT

Massage Therapist

NPI 1629407820

Licensed Massage Therapist

Peter Crawford , LMT

Massage Therapist

NPI 1770906091

Licensed Massage Therapist

Rebecca O'brien

Massage Therapist

NPI 1871042945

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2008

Registered at 369 NE REVERE AVE, SUITE B, BEND, OR 977014059 (Tel: 5418489271)

📍
Updated Business Mailing Address June 30, 2008

Registered at 19434 SW HOLLYGRAPE ST, BEND, OR 977022876 (Tel: 5418469271)

👤
Provider Name / Credentials Updated June 30, 2008

Recorded as MATTHEW WILLIAMS, LMT IASI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Specialist (License #13145 in OR)

🟢
Initial NPI Registration & Enumeration June 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558523514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2008
Last Update: June 30, 2008
Sole Proprietor: Yes

Mailing Address

19434 Sw Hollygrape St

Bend, OR 977022876

Phone: 5418469271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.