Individual
GEOFFREY MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11015 NE 26TH ST UNIT 3, VANCOUVER, WA 98684-4350
(360) 513-2008
Mailing address
806 NW 116TH CIR, VANCOUVER, WA 98685-3875
(360) 513-2008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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