Individual
MR. MATTHEW ALEXANDER KUZMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4975 SE DIVISION ST APT 248, PORTLAND, OR 97206-1574
(408) 398-9622
Mailing address
4975 SE DIVISION ST APT 248, PORTLAND, OR 97206-1574
(408) 398-9622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15075
OR
1041C0700X
Clinical Social Worker
LSCW95731
CA
Other
Enumeration date
11/07/2017
Last updated
03/10/2025
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