Active NPI
Emily Hanne Mattson
- Doula
- Sunriver, OR
National Provider Identifier
1639927767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 17607 Cluster Cabin LN
Sunriver, OR 97707 - Phone
- (530) 401-4609
- NPI assigned
- May 13, 2024
- Last updated
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
17607 Cluster Cabin LN
Sunriver, OR 97707
Mailing address
70 SW Century Dr Ste 100
PMB 1155
Bend, OR 97702
Phone (530) 401-4609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1639927767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SW CENTURY DR STE 100",
"address_2": "PMB 1155",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "530-401-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17607 CLUSTER CABIN LN",
"city": "SUNRIVER",
"state": "OR",
"postal_code": "97707",
"telephone_number": "530-401-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "EMILY",
"middle_name": "HANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunriver, OR
- High Desert Therapy Associates Inc (La Pine Physical Therapy)
- Robert Edward Lee
- Jason Arnie Leistad, L.AC.
- Kevin V. Lemley, M.D.
- Massage in Central Oregon LLC
- Jennifer McFall, LMT
- Thomas Timmons McGranahan Sr., MD
- Casey O'Neill, D.D.S, M.S.
- Rebound Physical Therapy II, LLC (Rebound Physical Therapy)
- Sydney K Reynolds
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.