Lookup NPI Numbers from the NPI Registry
NPI Profile for GENNAYA L MATTISON in SALEM, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery |
| NPI Number | 1407266455 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/29/2014 | |
| Last updated | 05/10/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GENNAYA L MATTISON
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GENNAYA L MATTISON, MD