Individual
ANNA MARIE MATHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
512 MAIN ST E, MONMOUTH, OR 97361-2369
(503) 838-1182
Mailing address
4368 SE OAKHURST ST, HILLSBORO, OR 97123-9210
(503) 475-3140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2020
Last updated
09/01/2022
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