Individual
MATEO MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3867 WOLVERINE ST NE, SALEM, OR 97305-4266
(503) 588-5352
Mailing address
3867 WOLVERINE ST NE, SALEM, OR 97305-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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