Irena Mattingly, AGNP-C
Irena Mattingly, AGNP-C is a Primary Care Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
6214 SE Milwaukie AvePortland, OR 97202-5417
Phone: (503) 908-6616
Fax: (225) 351-9980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 10007639 (OR) |
|---|
Record details
| NPI number | 1457040818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2023 |
| Last updated in NPPES | November 4, 2024 |
| Certification date | November 4, 2024 |
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