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General NPI Number Information
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NPI Number | 1831541523
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Entity Type | Individual
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Provider Name | VERA MATTI
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 605 SE CESAR E CHAVEZ BLVD
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City | PORTLAND
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State | OR
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Zip | 97214-3216
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Country | US
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Telephone | 503-731-9539
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 SW CEDAR HILLS BLVD
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City | BEAVERTON
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State | OR
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Zip | 97005-2027
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Country | US
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Telephone | 971-268-6903
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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