Individual
ANNE E MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 239-8429
Mailing address
1000 SW VISTA AVE APT 1110, PORTLAND, OR 97205-1168
(971) 219-6131
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
OR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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