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 Date2024-11-04
Business Address
IRENA MATTINGLY AGNP-C
6214 SE MILWAUKIE AVE
PORTLAND, OR 97202-5417
Phone number: 503-908-6616
Mailing Address
IRENA MATTINGLY AGNP-C
6812 SE DREW ST
MILWAUKIE, OR 97222-1830
Phone number: 503-707-4064
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