Individual
MATTHEW JAMES WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 MAIN ST STE 201, OREGON CITY, OR 97045-1830
(503) 655-1029
Mailing address
511 MAIN ST STE 201, OREGON CITY, OR 97045-1830
(503) 655-1029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-18-177
OR
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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