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Individual

MRS. ELIZABETH C MATTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC

Contact information

Practice address
5441 S MACADAM AVE # 5235, SUITE R, PORTLAND, OR 97239-6106
(516) 506-2964
Mailing address
5441 S MACADAM AVE # 5235, PORTLAND, OR 97239-6106
(516) 506-2964

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R12599
OR

Other

Enumeration date
01/13/2026
Last updated
01/13/2026
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