MANDY MATTISON


Address: 1406 Marine Dr, Astoria, OR 97103-3808
Phone: 5095393985

MANDY MATTISON (NPI# 1417569559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
201604495RN OR Nursing Service Providers

Office Location

Street Address 1406 MARINE DR
City ASTORIA
State OR
Zip Code 97103-3808

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487274585 Renee Aviv Registered Nurse 2475 38th St Apt 2a, Astoria, NY 11103-4113 2020-04-20

Providers in the same taxonomy and state

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
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Competitor

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City ASTORIA
Zip Code 97103

Improve Information

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Dataset Information

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.

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