MANDY MATTISON (NPI# 1417569559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417569559 |
Entity Type | Individual |
Full Name | MANDY MATTISON |
Credential | MSN-ED, RN, IBCLC |
Practice Address |
1406 Marine Dr Astoria OR 97103-3808 |
Mailing Address |
1747 Se 3rd St Astoria OR 97103-5445 |
Practice Telephone | 5095393985 |
Mailing Telephone | 6233301695 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
201604495RN | OR | Nursing Service Providers |
Street Address |
1406 MARINE DR |
City | ASTORIA |
State | OR |
Zip Code | 97103-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124641642 | Astoria Birth Center | Clinic/Center | 1406 Marine Dr, Astoria, OR 97103-3808 | 2020-05-19 |
1669095782 | Rebecca Ruth Barlow | Advanced Practice Midwife | 1406 Marine Dr, Astoria, OR 97103-3808 | 2020-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
Find all providers in zip 97103 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487274585 | Renee Aviv | Registered Nurse | 2475 38th St Apt 2a, Astoria, NY 11103-4113 | 2020-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275169484 | Rebecca Joanne West Jaquette | Registered Nurse | 705 Louis St, Eugene, OR 97402-2122 | 2020-03-19 |
1891321402 | Sarah Imig | Registered Nurse | 4665 Manzanita St, Eugene, OR 97405-4693 | 2020-03-14 |
1952950487 | Kelly Telfer | Registered Nurse | 70120 Mckenzie Canyon Rd, Sisters, OR 97759-9742 | 2019-09-07 |
1528624970 | Lisa Gonzales | Registered Nurse | 32050 Sw Willamette Way E, Wilsonville, OR 97070-9596 | 2019-05-11 |
1619433224 | Danica Jean Zapata Stiles | Registered Nurse | 1592 Grove St, Eugene, OR 97404-3901 | 2019-02-19 |
1568953040 | Doris Ann Onnis | Registered Nurse | 9155 Sw Barnes Rd Ste 730, Portland, OR 97225-6634 | 2018-05-21 |
1386183812 | Lullaby Lactation LLC | Registered Nurse | 39643 Nw Murtaugh Rd, North Plains, OR 97133-6143 | 2017-02-16 |
1891147294 | Lauren Marie O'duin | Registered Nurse | 106 Sw Woods St Ste A, Portland, OR 97201-4739 | 2016-07-08 |
1346698032 | Marilyn Joanne Watkins | Registered Nurse | 5199 Nw Elm Ave, Redmond, OR 97756-8898 | 2016-06-02 |
1457717563 | Winn Asay | Registered Nurse | 1442 Ne 71st Ave, Portland, OR 97213-5307 | 2016-01-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.