IndividualActive
Matthew Larson
NPI 1669298956 · Child Intellectual and/or Developmental Disabilities Respite Care · Ashland, OR
Provider details
- NPI number
- 1669298956
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- DZ681264 (OR)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense DZ681264 (OR)
Respite Care Facility
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
6840 Highway 66
Ashland, OR 97520-9774
Phone: (541) 708-1194
Street-level locationGet directions
Mailing address
1467 Siskiyou Blvd # 191
Ashland, OR 97520-2336
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.