SAMUEL MATTINGLY

FAIRVIEW, OR
NPI1699133488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
SAMUEL MATTINGLY
1945 NE 205TH AVE
FAIRVIEW, OR 97024-9622
Phone number: 503-661-8050
Mailing Address
SAMUEL MATTINGLY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 571-451-5855