Individual provider · Type 1 NPI
Matthew Rudd Reynolds
Mental Health Counselor · Portland, OR
NPI number
1154923308
Active
Practice location
2929 SW Multnomah Blvd Ste 203B
Portland, OR 97219-4070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R5679 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1154923308
Matthew Rudd Reynolds's National Provider Identifier is 1154923308, issued on Nov 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 12, 2020.