Individual
MATTHEW SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2738 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 208-5035
Mailing address
5104 N WILLIAMS AVE, PORTLAND, OR 97217-2837
(847) 558-4104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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