Provider Demographics
NPI:1700367927
Name:ELLIOTT, MATTHEW Z (MA, LMFTI)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:Z
Last Name:ELLIOTT
Suffix:
Gender:M
Credentials:MA, LMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6745 SW SCHOLLS FERRY RD APT 5
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5471
Mailing Address - Country:US
Mailing Address - Phone:541-228-5328
Mailing Address - Fax:
Practice Address - Street 1:8285 SW NIMBUS AVE STE 148
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6465
Practice Address - Country:US
Practice Address - Phone:503-352-3260
Practice Address - Fax:503-352-3262
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist