Provider Demographics
NPI:1366876195
Name:TOMPKINS, MATTHEW RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:RICHARD
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NE 3RD ST
Mailing Address - Street 2:STE 106-16
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3894
Mailing Address - Country:US
Mailing Address - Phone:541-241-2976
Mailing Address - Fax:541-323-8786
Practice Address - Street 1:1230 NE 3RD ST
Practice Address - Street 2:STE A152
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4376
Practice Address - Country:US
Practice Address - Phone:541-383-2185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5490111NN1001X, 111NR0400X, 111NS0005X, 111NX0800X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0800XChiropractic ProvidersChiropractorOrthopedic