Individual
DR. NINA LOUISE MATTARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2870 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5127
(541) 994-9191
(541) 994-9034
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301054688
MI
208000000X
Pediatrics Physician
Primary
MD185106
OR
208M00000X
Hospitalist Physician
4301054688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881786119
—
MI
01
—
3503334051
BCBS INDIVIDUAL PIN
MI
05
—
4796017
—
MI
Enumeration date
09/28/2006
Last updated
11/04/2020
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