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Individual

MATTHEW GARETT DEXHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMHC

Contact information

Practice address
8425 N LOMBARD ST, PORTLAND, OR 97203-3728
(503) 283-4776
Mailing address
8425 N LOMBARD ST, PORTLAND, OR 97203-3728

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC.LH.70068189
WA
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary
C6913
OR

Other

Enumeration date
11/26/2014
Last updated
04/07/2026
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