Individual
VIRGINIA L MATTFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10424 SE CHERRY BLOSSOM DR STE I, PORTLAND, OR 97216-2801
(971) 231-4956
(503) 385-0339
Mailing address
10424 SE CHERRY BLOSSOM DR STE I, PORTLAND, OR 97216-2801
(971) 231-4956
(503) 385-0339
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4964
OR
Other
Enumeration date
02/14/2008
Last updated
01/14/2015
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