Matese, Mary

Matese, Mary is an individual health care provider with primary practice located at 66 Club Rd Ste 120 , Eugene OR 97401. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Matese, Mary can be contacted via phone (541) 393-5983.

Contact Information

Primary practice address
66 Club Rd Ste 120 Eugene OR 97401
Phone: (541) 393-5983
Fax: (541) 393-5984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 5065 Oregon
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 5065 Oregon
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1295061182
LBN Legal business name Matese, Mary
Credentials LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2009
Last updated Feb 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295061182 NPPES
Oregon MEDICAID 500719639

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