MATHEW REICHARDT

PORTLAND, OR
NPI1528566445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-25
Last Update Date2018-01-25
Business Address
MATHEW REICHARDT
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
Mailing Address
MATHEW REICHARDT
232 NW 6TH AVENUE ATTN: BBIS CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681
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