Matthews-Kumm, Lori Denise

Matthews-Kumm, Lori Denise is an individual health care provider with primary practice located at 847 Ne 19Th Ave Ste 100 , Portland OR 97232-2684. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Matthews-Kumm, Lori Denise can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Ste 100 Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073646568
LBN Legal business name Matthews-Kumm, Lori Denise
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 23rd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073646568 NPPES
Oregon MEDICAID 500663798

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