Individual provider · Type 1 NPI
Gennaya Lynn Mattison, MD
Plastic and Reconstructive Surgery Physician · Salem, OR
NPI number
1407266455
Active
Practice location
350 Miller St SE Ste 200
Salem, OR 97302-4272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 198745 (OR) |
| Plastic Surgery Physician | 208200000X | 198745 (OR) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1407266455
Gennaya Lynn Mattison, MD's National Provider Identifier is 1407266455, issued on Apr 29, 2014. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Salem, OR. The record was last updated on May 10, 2021.