GENNAYA LYNN MATTISON M.D.
Individual Provider (NPI-1)
Active
Surgery, Plastic and Reconstructive Surgery
Provider Information
- NPI Number
1407266455- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 350 MILLER ST SE STE 200, SALEM, OR, 973024272
- Phone
- (503) 400-3434
Specialties & Taxonomies
Surgery, Plastic and Reconstructive Surgery
Primary License: OR #198745
Plastic Surgery
License: OR #198745