MEDICARE: SARAH JEAN MATNEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	201709503NP-PP	OR

General Provider Information

NPI Number	:	1619484441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JEAN MATNEY NP

Provider Business Mailing Address
First Line	:	9300 SE 91ST AVE STE 200
Second Line	:
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-3762
Country	:	US
Telephone Number	:	503-261-1171
Fax Number	:	503-253-5989

Provider Business Practice Location Address
First Line	:	9300 SE 91ST AVE STE 200
Second Line	:
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-3762
Country	:	US
Telephone Number	:	503-261-1171
Fax Number	:	503-253-5989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2018
Last Update Date	:	02/05/2026

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