Individual
PAULA MATOSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E POWELL BLVD, GRESHAM, OR 97030-7605
(971) 801-4351
Mailing address
3707 SE 174TH AVE, PORTLAND, OR 97236-1253
(971) 801-4351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18732
OR
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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