Individual
MS. JULIE LEE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E, PORTLAND, OR 97227-1196
(503) 331-6465
Mailing address
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE E, PORTLAND, OR 97227-1043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200350096NP
OR
Other
Enumeration date
08/16/2006
Last updated
08/24/2009
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