MATT PROSA

PORTLAND, OR
NPI1912872896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-10-09
Last Update Date2025-10-09
Business Address
MATT PROSA
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130
Mailing Address
MATT PROSA
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number:
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