Individual
MR. MATTHEW J WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CWSA
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(954) 529-1121
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A17933
OR
1041C0700X
Clinical Social Worker
Primary
ISW18074
FL
Other
Enumeration date
03/28/2024
Last updated
06/12/2026
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