Individual
NATHAN MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
2909 N WILLAMETTE BLVD APT 9, PORTLAND, OR 97217-4075
(509) 713-0511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/18/2021
Last updated
05/08/2024
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