Individual
JESSICA-ANN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204
(509) 455-5050
(509) 624-5034
Mailing address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 624-5034
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
201807639NP-PP
OR
225X00000X
Occupational Therapist
222538
OR
367A00000X
Advanced Practice Midwife
201807639NP-PP
OR
367A00000X
Advanced Practice Midwife
Primary
AP61014284
WA
Other
Enumeration date
08/06/2007
Last updated
01/19/2021
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