Individual
MATTHEW M BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
10011 SE DIVISION ST, SUITE 203, PORTLAND, OR 97266-1351
(503) 255-2343
(503) 255-2344
Mailing address
PO BOX 16308, PORTLAND, OR 97292-0308
(503) 255-2343
(503) 255-2344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R3648 REG INTERN
OR
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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