Individual provider · Type 1 NPI

Matt Prosa

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1912872896 Active

Practice location

16420 SE Division St
Portland, OR 97236-1987

Call (503) 762-3130 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912872896

Matt Prosa's National Provider Identifier is 1912872896, issued on Oct 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Oct 9, 2025.