Individual
JEFFREY WALTER MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2915 S ALDER ST, TACOMA, WA 98409-4803
(253) 473-0275
(253) 473-0706
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3538ATI
OR
152W00000X
Optometrist
Primary
OD60524281
WA
Other
Enumeration date
04/11/2013
Last updated
12/03/2020
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