NPI

Olivia Mattus

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
CPC
Type
Individual
Enumeration date
2018-07-26
Last updated
2020-11-13

Specialties

Licenses

License WA
60871230

Location

Practice location
748 14th Avenue
City
Longview WA
Postal code
98632
Phone
(360) 200-5419

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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