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Individual

MATTHEW SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, MAC

Contact information

Practice address
847 NE 19TH AVE, 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508391
OR
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
L6455
OR

Other

Enumeration date
05/24/2011
Last updated
10/10/2016
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