Vinson, Matthew

Vinson, Matthew is an sole proprietor health care provider with primary practice located at 1009 Nw Spruce Ave , Redmond OR 97756-1212. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vinson, Matthew can be contacted via phone (541) 891-9841.

Contact Information

Primary practice address
1009 Nw Spruce Ave Redmond OR 97756-1212
Phone: (541) 891-9841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16-05-19 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7785 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L7785 Oregon

Profile Details

NPI number 1366713075
LBN Legal business name Vinson, Matthew
Credentials MSW, LCSW, CADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2012
Last updated Aug 11th, 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 1366713075 NPPES
Oregon MEDICAID 500657181
Oregon MEDICAID 500714484

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