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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRENA MATTINGLY, AGNP-C

Active Sole Proprietor

IRENA MATTINGLY, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1457040818 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PORTLAND, OR

Registration Details

NPI Number
1457040818
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2023 (3.2435091782809 yrs)
Last Updated
Nov 4, 2024
License
10007639 (OR)
Sole Proprietor
Yes

Practice Information

Address
6214 SE MILWAUKIE AVE
PORTLAND, OR, 972025417
Browse OR providers · Browse ZIP 97202
Phone
5039086616
Fax
2253519980
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in PORTLAND, OR

Name Credential NPI
MRS. GAYLE MARGARET MORAN ADULT NURSE PRACTITI 1912941667
JOAN MARGUERITE SHELBY ANP 1336158617
SUZANNE S AHN M.S., FNP-C 1417136938
COLLEEN ELIZA NASREEN HUNTWORK RN, FNP 1386979482
MICHELE JEAN BERGMANN RN 1902166481
CRAIG STEVEN HAGGETT MSN, FNP 1447672134
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.