Dr. Matthew Kristoff Wiest, D.O.
Hospitalist in Bend, OR. Individual provider (NPI-1).
NPI number1447516752
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1447516752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Kristoff Wiest
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2012
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | DO169749 | OR | Yes |
| 207R00000X | Internal Medicine | DO169749 | OR |
Practice location
2500 Ne Neff RdBend, OR 97701-6015
Phone 541-706-5811 · Fax 541-706-5867
Mailing address
7600 Sw Copel StPortland, OR 97225-3336
Phone 503-803-0671
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