Individual
MORGAN MATHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19000 SW STRICKLAND DR, BEAVERTON, OR 97007-9029
(971) 218-6235
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10030982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024011461
ANCC
OR
Enumeration date
09/12/2024
Last updated
01/21/2025
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