Individual
MATTHEW W BAYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP-R
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
1924 SE 56TH AVE, PORTLAND, OR 97215-3360
(971) 291-5347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24-QMHP-R-2755
OR
101YP2500X
Professional Counselor
Primary
24-QMHP-R-2755
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/15/2017
Last updated
04/07/2026
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