Individual
MRS. STEPHANIE LOVE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
(503) 325-2853
Mailing address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
(503) 325-2853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
12/18/2014
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