Individual
ANNE MARIE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12100 SE STEVENS CT, SUITE 106, PORTLAND, OR 97266-8707
(503) 653-1442
Mailing address
PO BOX 1564, OREGON CITY, OR 97045-0564
(503) 656-9477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2731ATI
OR
152W00000X
Optometrist
3510
WA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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