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1164878872
MATTHEW SMITH
PORTLAND, OR
NPI
1164878872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
Mr. MATTHEW SMITH
10714 NE GLISAN ST
PORTLAND, OR 97220-4046
Phone number: 503-256-2453
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Mailing Address
Mr. MATTHEW SMITH
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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