Individual
NAOMI MARIE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52007 SUNQUIST RD, MILTON FREEWATER, OR 97862-6847
(541) 558-0610
Mailing address
52007 SUNQUIST RD, MILTON FREEWATER, OR 97862-6847
(541) 558-0610
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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