SearchOregon374J00000X

Mattie Khan

NPI 1033578745 · on the registry since 2016 · sole proprietor

Practice

Address
5209 N Vancouver Ave Unit 11f
Portland, OR 97217
Phone
(503) 935-3493

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon