IRENA MATTINGLY

PORTLAND, OR
NPI1457040818
Former NameIRENA GOCHENOUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: OR  10007639)
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
IRENA MATTINGLY A-GNP-C
9450 SW BARNES RD STE 100
PORTLAND, OR 97225-6642
Phone number: 503-292-9560
Mailing Address
IRENA MATTINGLY A-GNP-C
6812 SE DREW ST
MILWAUKIE, OR 97222-1830
Phone number: 503-707-4064
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