Individual
MICHELLE MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(971) 666-1752
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(971) 666-1752
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
201704043RN
OR
163WC1500X
Community Health Registered Nurse
201704043RN
OR
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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