IndividualActive
Matt Glaus
NPI 1609253004 · Student in an Organized Health Care Education/Training Program · Corvallis, OR
Provider details
- NPI number
- 1609253004
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- PI-0011449 (OR)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense PI-0011449 (OR)
Student, Health Care
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Nw 11th St
Apt 1
Corvallis, OR 97330-6048
Phone: (503) 508-5808
Street-level locationGet directions
Mailing address
205 Nw 11th St
Corvallis, OR 97330-6048
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2015-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.