Individual
MR. MATTHEW EVAN BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3IPCC, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 273-5285
Mailing address
116 NE 86TH AVE, PORTLAND, OR 97220-5907
(503) 256-4039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1053
OR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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