Individual
EDWARD MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
699 WALLACE RD NW, SALEM, OR 97304-3834
(503) 428-5073
(503) 428-5077
Mailing address
699 WALLACE RD NW, SALEM, OR 97304-3834
(503) 428-5073
(503) 428-5077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0011926
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0011926
OR
Other
Enumeration date
09/14/2009
Last updated
07/19/2016
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