Emily Holly Mattson, LMP
Specialist in Vancouver, WA. Individual provider (NPI-1).
NPI number1679747869
StatusActive
Last updated in NPPESApr 17, 2008
Details
- NPI
- 1679747869
- Entity type
- Individual (NPI-1)
- Name
- Emily Holly Mattson
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2008
- Last updated
- Apr 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA00006419 | WA | Yes |
Practice location
210 E McLoughlin BlvdVancouver, WA 98663-3369
Phone 360-693-3400
Mailing address
14968 Emerson CtOregon City, OR 97045-7571
Phone 503-969-6342
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