Individual
STEVEN MATTSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(971) 271-6307
Mailing address
51 NE GRAND AVE, PORTLAND, OR 97232-2968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-06-35
OR
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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