Individual
EMILY HOLLY MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
210 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3369
(360) 693-3400
Mailing address
14968 EMERSON CT, OREGON CITY, OR 97045-7571
(503) 969-6342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00006419
WA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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