MR. MATTHEW LOVETT TALLMAN CRM NPI 1083078083

NPI Information

  • NPI: 1083078083
  • Provider Name: MR. MATTHEW LOVETT TALLMAN, CRM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1122 NE 122ND AVE STE A200
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 594-4766

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NPI Details

MR. Matthew Lovett Tallman, CRM is a mental health counselor in Portland, OR. MR. Matthew Lovett Tallman, CRM NPI is 1083078083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1122 NE 122ND AVE STE A200
PORTLAND, OR
ZIP 97230-083
Phone: (503) 594-4766

The enumeration date for this NPI number is 4/6/2016 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)15CRM146OREGONNo
2101YM0800XCounselorMental HealthOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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