JOHN MATTHEW LIVENGOOD

PORTLAND, OR
NPI1013784552
Other NameMATT LIVENGOOD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-12-05
Last Update Date2023-12-05
Business Address
JOHN MATTHEW LIVENGOOD
11 NE MLK BLVD STE 203
PORTLAND, OR 97232-3579
Phone number: 971-350-1122
Mailing Address
JOHN MATTHEW LIVENGOOD
1167 NE 65TH AVE
PORTLAND, OR 97213-4973
Phone number: 503-360-8887