Individual
MATTHEW R. CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
847 NE 19TH AVE, #100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
3525 SE MADISON ST, PORTLAND, OR 97214-4254
(614) 657-6832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L5488
OR
1041C0700X
Clinical Social Worker
L5488
OR
Other
Enumeration date
02/05/2013
Last updated
04/08/2013
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