Individual
MONA LEE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5907 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6707
(208) 940-2053
Mailing address
5940 SE 138TH PL, PORTLAND, OR 97236-4402
(208) 940-2053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19679
OR
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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