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Individual

HARRIET JEAN MATTLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15398
CA
363L00000X
Nurse Practitioner
201400209RN
OR
363LF0000X
Family Nurse Practitioner
15398
CA
363LF0000X
Family Nurse Practitioner
Primary
201400210NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201400210NP-PP
OREGON LICENSE
OR
01
38-3990
MEDICARE PART A
OR
01
930937095
CURRY HEALTH DISTRICT
OR
01
NP 15398
NP LICENSE
CA
01
R0000ZGBDG
CURRY GENERAL HOSPITAL MEDICARE PART B
OR
01
RN 389101
RN LICENSE
CA
Enumeration date
11/23/2009
Last updated
03/07/2023
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