Individual
MELINDA DARLENE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2026
(503) 879-2071
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2026
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5134
OR
175T00000X
Peer Specialist
115785
OR
175T00000X
Peer Specialist
25-CRM-4924
OR
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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