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Organization
TAMAR-MATTIS, D.O., A PROFESSIONAL ORGANIZATION
Active
Organization
TAMAR-MATTIS, D.O., A PROFESSIONAL ORGANIZATION
Active
Other names
Liminal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE TAMAR-MATTIS (CHIEF ADMINSITRATIVE OFFICER)
(707) 861-0807
Entity
Organization
Contact information
Practice address
1020 GRAVENSTEIN HWY S STE 120, SEBASTOPOL, CA 95472-4863
(707) 861-0807
Mailing address
1020 GRAVENSTEIN HWY S STE 120, SEBASTOPOL, CA 95472-4863
(707) 861-0807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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