| NPI | 1639539588 |
|---|---|
| Professional Name | MATTHEW L PORTNER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH61166605) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C5373) |
| 101YP2500X Counselor Professional (Licence: VA 0701006464) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-10-01 |