MS. ELIZABETH BURTON MATUK (NPI# 1538156351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538156351 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH BURTON MATUK |
| Credential | FNP |
| Practice Address |
330 S Chiloquin Blvd Chiloquin OR 97624-6747 |
| Mailing Address |
Po Box 277 Bieber CA 96009-0277 |
| Practice Telephone | 5417833293 |
| Practice Fax Number | 5417833273 |
| Mailing Telephone | 5302945241 |
| Mailing Fax Number | 5302945241 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
094006651N1 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 276266 | 05 |
| Street Address |
330 S CHILOQUIN BLVD |
| City | CHILOQUIN |
| State | OR |
| Zip Code | 97624-6747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148427 | Mason Zhang | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2019-11-07 |
| 1881169464 | Sarah O'brien | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2018-10-10 |
| 1245747476 | Bita Vaghari | Dentist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2018-01-09 |
| 1114448529 | Benjamin Russel Stuart | Registered Nurse | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2017-07-06 |
| 1356712392 | Daniel Wayne Conant | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2015-10-16 |
| 1215201223 | Jay P Flesch | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2012-03-08 |
| 1215218292 | Anjanette Michelle Devine | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2011-09-02 |
| 1639290778 | Klamath Tribal Health & Family Services | Pharmacy | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2007-04-03 |
| 1700952736 | Thuc Xuan Ngo | Dentist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2006-11-28 |
| 1285610642 | Timothy George Langford | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588805832 | Klamath Tribal Health and Family Services | Clinic/Center | 330 Chiloquin Boulevard, Chiloquin, OR 97624 | 2009-03-17 |
| 1922250364 | Melissa Sample | Registered Nurse | 103 Waso, Chiloquin, OR 97624 | 2008-10-16 |
| 1225291503 | Klamath Health Partnership Inc | Clinic/Center | 103 Wasco Ave, Chiloquin, OR 97624 | 2008-07-07 |
| 1598834822 | Edward Stuart Walker | Dentist | 330 Chiloquin, Chiloquin, OR 97624 | 2006-11-08 |
| 1295728624 | Jamie D. Rich | Internal Medicine | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2005-08-31 |
| 1629078274 | Klamath Tribal Health & Family Services | Clinic/Center | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2005-07-26 |
| 1114296720 | Marcy J. Ayres | Dietitian, Registered | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2011-12-28 |
| 1427351576 | Laura A. Snyder | Dentist | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2010-12-13 |
| 1225260946 | Qiang Yin | Transplant Surgery | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2009-08-13 |
| 1861412884 | Kathy Kiryang Bak | Family Medicine | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2006-07-20 |
| Find all providers in zip 97624 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881169464 | Sarah O'brien | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2018-10-10 |
| 1215218292 | Anjanette Michelle Devine | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2011-09-02 |
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|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.