Individual provider · Type 1 NPI

Matthew Lovett Tallman, CRM

Clinical Social Worker · Portland, OR

NPI number 1083078083 Active

Practice location

6904 N Knowles Ave
Portland, OR 97217-5117

Call (503) 753-0243 Map

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL18060 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083078083

Matthew Lovett Tallman, CRM's National Provider Identifier is 1083078083, issued on Apr 6, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 20, 2026.