DONTAE EUGENE MATHIS

TROUTDALE, OR
NPI1518687300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
DONTAE EUGENE MATHIS
124 E HISTORIC COLUMBIA RIVER HWY
TROUTDALE, OR 97060
Phone number: 971-293-9237
Mailing Address
DONTAE EUGENE MATHIS
3854 SW CULLEN BLVD
PORTLAND, OR 97221-3528
Phone number: 971-263-7239
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