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Individual

CLAYTON DANE MATHEWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 224-1223
Mailing address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 224-1223

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/10/2010
Last updated
01/10/2010
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