Individual
MATTHEW KIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
3393
OR
Other
Enumeration date
04/25/2016
Last updated
10/01/2021
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