ANDREW SURYANATA MATTSON

PORTLAND, OR
NPI1043102825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA227790)
Enumeration Date2025-07-16
Last Update Date2025-10-19
Business Address
Mr. ANDREW SURYANATA MATTSON PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
Mailing Address
Mr. ANDREW SURYANATA MATTSON PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
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