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
Health care specialties
Specialty | Code | License # | 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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