Individual
MRS. TERRA ANN MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT, LPC
Contact information
Practice address
4800 SW MEADOWS RD, SUITE 361, LAKE OSWEGO, OR 97035-4264
(503) 679-4743
Mailing address
4800 SW MEADOWS RD, SUITE 361, LAKE OSWEGO, OR 97035-4264
(503) 679-4743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2416
OR
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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