Individual
MATTHEW ALBERT LENZMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
(541) 383-4935
Mailing address
2216 NE HOLLIDAY AVE, BEND, OR 97701-6033
(541) 213-3495
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-580
OR
175T00000X
Peer Specialist
21-CRM-529
OR
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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