Individual
MR. MATTHEW JOSEPH PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2408 SE 16TH AVE, PORTLAND, OR 97214-5334
(503) 970-3937
Mailing address
1232 SE 51ST AVE, PORTLAND, OR 97215-2615
(503) 970-3937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2960
OR
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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