Healthcare Provider Details

I. General information

NPI: 1689619140
Provider Name (Legal Business Name): MATRIX CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 SW BEAVERTON HILLSDALE HWY SUITE 202
BEAVERTON OR
97005-3361
US

IV. Provider business mailing address

9800 SW BEAVERTON HILLSDALE HWY SUITE 202
BEAVERTON OR
97005-3361
US

V. Phone/Fax

Practice location:
  • Phone: 503-295-3417
  • Fax: 503-646-4549
Mailing address:
  • Phone: 503-295-3417
  • Fax: 503-646-4549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0837
License Number StateOR

VIII. Authorized Official

Name: MS. MAUREEN ANN BARNARD
Title or Position: OWNER
Credential: LCSW
Phone: 503-295-3417