Individual
MR. MATT PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006464
VA
101YP2500X
Professional Counselor
C5373
OR
101YP2500X
Professional Counselor
Primary
LH61166605
WA
Other
Enumeration date
03/03/2016
Last updated
10/01/2021
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