Individual
MATTHEW KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 228-9229
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2017
Last updated
10/05/2018
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