Bayley, Matthew W

Bayley, Matthew W is an individual health care provider with primary practice located at 12636 Se Stark St Bldg J , Portland OR 97233-1058. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bayley, Matthew W can be contacted via phone (503) 253-4600.

Contact Information

Primary practice address
12636 Se Stark St Bldg J Portland OR 97233-1058
Phone: (503) 253-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 24-QMHP-R-2755 Oregon

Profile Details

NPI number 1568978484
LBN Legal business name Bayley, Matthew W
Credentials QMHP-R
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated May 24th, 2024 - about 2 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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