Individual
MATTHEW MICHAEL LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWA, LMSW
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-1482
Mailing address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4071969
ID
104100000X
Social Worker
Primary
A16158
OR
Other
Enumeration date
05/20/2025
Last updated
08/05/2026
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