Crumbaker, Matt Stephen

Crumbaker, Matt Stephen is an individual health care provider with primary practice located at 521 Sw 11Th Ave , Portland OR 97205-2634. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Crumbaker, Matt Stephen can be contacted via phone (503) 572-1755.

Contact Information

Primary practice address
521 Sw 11Th Ave Portland OR 97205-2634
Phone: (503) 572-1755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891831616
LBN Legal business name Crumbaker, Matt Stephen
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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