SAMUEL MATTINGLY
Counselor - Mental Health
Active
Individual
NPI: 1699133488
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1699133488 is the National Provider Identifier for SAMUEL MATTINGLY, a Counselor - Mental Health provider located in Fairview, OR. This NPI was enumerated on February 8, 2016.
SAMUEL MATTINGLY practices at 1945 NE 205TH AVE, Fairview, OR 97024.
Quick Facts
- NPI
- 1699133488
- Type
- Individual
- Enumerated
- Feb 8, 2016
- Last Updated
- Feb 8, 2016
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