Individual provider · Type 1 NPI
Mona Lee Matthews, LMT
Specialist · Portland, OR
NPI number
1609210327
Active
Practice location
5907 SE Woodstock Blvd
Portland, OR 97206-6707
Mailing address
5940 SE 138th Pl
Portland, OR 97236-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 19679 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1609210327
Mona Lee Matthews, LMT's National Provider Identifier is 1609210327, issued on Apr 24, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2013.