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Individual
MATTHEW BOYLAN
Active
Individual
MATTHEW BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6909
OR
106H00000X
Marriage & Family Therapist
R5789
OR
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6909
OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
OR
Enumeration date
11/16/2015
Last updated
12/06/2022
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