Provider Demographics
NPI:1164280368
Name:MATTHEW S NEWEY LPC CORP
Entity Type:Organization
Organization Name:MATTHEW S NEWEY LPC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:541-784-6444
Mailing Address - Street 1:1306 NW HOYT ST STE 309
Mailing Address - Street 2:
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:
Practice Address - Street 1:1306 NW HOYT ST STE 309
Practice Address - Street 2:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)