Individual
LIYA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1840 E PORTLAND RD, NEWBERG, OR 97132-1847
(888) 227-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11010051
FL
363LF0000X
Family Nurse Practitioner
Primary
202214567NP-PP
OR
Other
Enumeration date
12/15/2020
Last updated
10/06/2022
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