Basic Information
| Provider Information | |||||||||
| NPI: | 1386964310 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SATCHER | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14450 SE ROYER RD | ||||||||
| Address2: | |||||||||
| City: | DAMASCUS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970898730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036585521 | ||||||||
| FaxNumber: | 5036585002 | ||||||||
| Practice Location | |||||||||
| Address1: | 14450 SE ROYER RD | ||||||||
| Address2: | |||||||||
| City: | DAMASCUS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970898730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036585521 | ||||||||
| FaxNumber: | 5036585002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2010 | ||||||||
| LastUpdateDate: | 04/20/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | L.9999 | AL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD186033 | OR | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.