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Individual

DANA MATHIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
318 NE 99TH ST, SUITE B, VANCOUVER, WA 98665-5902
(350) 571-2195
(360) 571-2408
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6815
OR
225100000X
Physical Therapist
7843
AZ
225100000X
Physical Therapist
Primary
PT60147275
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467640342
WA
01
325056
WA L&I
WA
05
500645425
OR
01
P01153282
RR MEDICARE
OR
01
P01582593
RR MEDICARE
WA
Enumeration date
10/04/2007
Last updated
02/23/2016
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