Individual
MATTHEW MICHAEL LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWA, LMSW
Contact information
Practice address
PO BOX 502, CLACKAMAS, OR 97015-0502
(971) 494-7300
Mailing address
PO BOX 502, CLACKAMAS, OR 97015-0502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A16158
OR
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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