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General NPI Number Information
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NPI Number | 1992660021
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Entity Type | Individual
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Provider Name | JENNIFER LAUREN MATSON RN
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Gender | Female
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 2121 NE 139TH STREET MEDICAL OFFICE BUILDING B, SUITE 150
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City | VANCOUVER
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State | WA
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Zip | 98686
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Country | US
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Telephone | 360-487-1855
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | AMBOY
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State | WA
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Zip | 98601-0029
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Country | US
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Telephone | 360-601-5887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 201390106RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | RN60398310
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License Number State | WA
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