Individual
MR. MATTHEW LOVETT TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
6904 N KNOWLES AVE, PORTLAND, OR 97217-5117
(503) 753-0243
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(971) 445-4844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15CRM146
OR
101YM0800X
Mental Health Counselor
Primary
—
OR
1041C0700X
Clinical Social Worker
Primary
L18060
OR
Other
Enumeration date
04/06/2016
Last updated
07/20/2026
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