Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Blaisdell, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780039164

Matthew Blaisdell, DO is a Student in an Organized Health Care Education/Training Program in Redding, California. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2480 Sonoma St
Redding, CA 96001
Phone: (530) 225-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 19636 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780039164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address2175 Rosaline Ave., Redding, CA 96001

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