Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENNAYA LYNN MATTISON, M.D.
Active Sole ProprietorGENNAYA LYNN MATTISON, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in SALEM, Oregon. NPI 1407266455 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SALEM, OR
Registration Details
- NPI Number
- 1407266455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2014 (12.303764609317 yrs)
- Last Updated
- May 10, 2021
- Licenses
-
198745 (OR)198745 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
350 MILLER ST SE STE 200SALEM, OR, 973024272Browse OR providers · Browse ZIP 97302
- Phone
- 5034003434
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.