Individual
JENNIFER LYNN MATYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2911 TENNYSON AVE STE 204, EUGENE, OR 97408
(541) 515-6194
(541) 505-9574
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
Primary
62820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500744666
—
OR
Enumeration date
04/18/2008
Last updated
06/27/2018
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