MATHEW REICHARDT


Address: 727 W Burnside St, Portland, OR 97209-3514
Phone: 5032284533

MATHEW REICHARDT (NPI# 1528566445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528566445
Entity Type Individual
Full Name MATHEW REICHARDT
Practice Address 727 W Burnside St
Portland
OR 97209-3514
Mailing Address 232 Nw 6th Avenue
Attn: Bbis Credentialing
Portland
OR 97209
Practice Telephone 5032284533
Practice Fax Number 5032284618
Mailing Telephone 5032941681
Mailing Fax Number 5032417419
Enumeration Date 2018-01-25
Last Update Date 2018-01-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 727 W BURNSIDE ST
City PORTLAND
State OR
Zip Code 97209-3514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568410538 David Nigel Adler IIi Acupuncturist 727 W Burnside St, Portland, OR 97209-3514 2006-05-04
1053973107 Barbara Jean Cordova Ayala Licensed Practical Nurse 727 W Burnside St, Portland, OR 97209-3514 2019-06-28
1386200186 Ronnie Lee Pickering Student in an Organized Health Care Education/Training Program 727 W Burnside St, Portland, OR 97209-3514 2019-05-16
1790254944 Carissa Angela Marston Physician Assistant 727 W Burnside St, Portland, OR 97209-3514 2018-11-16
1518447119 Amanda Nicole Cantu Licensed Practical Nurse 727 W Burnside St, Portland, OR 97209-3514 2018-08-14
1194204552 Livian Marie Rand Acupuncturist 727 W Burnside St, Portland, OR 97209-3514 2018-08-07
1508366733 Jason Sheffey Peer Specialist 727 W Burnside St, Portland, OR 97209-3514 2018-02-14
1639681638 Julie Cha Beert Pharmacist 727 W Burnside St, Portland, OR 97209-3514 2017-10-30
1821500117 Kimberly Marie Hutchinson Registered Nurse 727 W Burnside St, Portland, OR 97209-3514 2017-10-26
1942727128 Tiffany Tsai Pharmacist 727 W Burnside St, Portland, OR 97209-3514 2017-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163657 Kevin Charles Reiser Counselor 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1639703960 Elizabeth Ann Anderson Counselor 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
1194356618 Deforrest Kwesi Jackson Counselor 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 2020-02-03
1760012942 Jesse Decker Counselor 7015 N Boston Ave, Portland, OR 97217-5711 2020-01-16
1740829076 Ryan Christianson Counselor 2707 Ne Flanders St, Portland, OR 97232-3159 2020-01-03
1083264477 Kayla Rose Paris Counselor 420 Cumberland Ave, Portland, ME 04101-2823 2019-09-17
1275193260 Anna Khval Counselor 1500 Se 122nd Ave, Portland, OR 97233-1207 2019-06-20
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
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Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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