Provider Demographics
NPI:1033210273
Name:NEWEY, MATTHEW S (LPC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:S
Last Name:NEWEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 NW HOYT STREET
Mailing Address - Street 2:SUITE 309
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2786
Mailing Address - Country:US
Mailing Address - Phone:541-784-6444
Mailing Address - Fax:503-461-5898
Practice Address - Street 1:1306 NW HOYT STREET
Practice Address - Street 2:SUITE 309
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2786
Practice Address - Country:US
Practice Address - Phone:541-784-6444
Practice Address - Fax:503-461-5898
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional