Individual
MATTHEW EDWARD GRADY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW CADC III
Contact information
Practice address
1675 WINTER ST NE, SALEM, OR 97303
(503) 585-0351
(503) 585-0212
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2060
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
031171
OR
1041C0700X
Clinical Social Worker
Primary
L3658
OR
Other
Enumeration date
04/12/2006
Last updated
01/06/2022
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