Keller, Matthew Evan

Keller, Matthew Evan is an individual health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Keller, Matthew Evan can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
400 Ne 7Th St Gresham OR 97030-5604
Phone: (503) 238-0769
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1457536641
LBN Legal business name Keller, Matthew Evan
Credentials CADC I APPLICANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Mar 5th, 2008 - about 17 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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