SHADI DANIEL MATTAR

PORTLAND, OR
NPI1770286718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-27
Last Update Date2023-03-27
Business Address
-- SHADI DANIEL MATTAR DPM
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
Mailing Address
-- SHADI DANIEL MATTAR DPM
15820 36TH AVE SE
BOTHELL, WA 98012-4749
Phone number: 425-877-4677