| Doctor Name: | DR. CARL HENRY MATTHEY |
| NPI Number: | 1578796728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 07470 |
| Business Practice Address: | 608 Lancaster Dr Se Salem, OR - 97301 |
| Business Phone Number: | 5033997474 |
| Business Fax Number: | |
| Mailing Address: | 6345 Joseph St Se, SALEM |
| State: | OR |
| Postal Code: | 97307 |
| Phone Number: | 5035814165 |
| Fax Number: | 5035814165 |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 07470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |