Individual
DEVON A MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
11945 SW PACIFIC HWY, #113, TIGARD, OR 97223-6469
(503) 684-8159
(503) 598-0934
Mailing address
19345 ROBIN CIR, #84, WEST LINN, OR 97068-2386
(503) 635-2088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
041158
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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