Individual
MISS MARIA JOSE MATOS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 W MAIN ST, HILLSBORO, OR 97123-3947
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(035) 591-9280
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
108714
OR
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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