Matthew Rudd Reynolds (NPI# 1154923308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1154923308 |
| Entity Type | Individual |
| Full Name | Matthew Rudd Reynolds |
| Gender | Male |
| Practice Address |
2929 Sw Multnomah Blvd Ste 203b Portland OR 97219-4070 |
| Practice Telephone | 5033887011 |
| Mailing Address |
2929 Sw Multnomah Blvd Ste 203b Portland OR 97219-4070 |
| Mailing Telephone | 5033887011 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Counselor · Mental Health | Behavioral Health & Social Service Providers | R5679 | OR |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| OR | R5679 | OTHER | OREGON BOARD OF COUNSELORS AND THERAPISTS |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235059 | Matthew Reynolds | Registered Nurse | 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | 2019-09-30 |
| 1578129193 | Matthew Reynolds | Chiropractor | 10160 W 50th Ave Unit 4, Wheat Ridge, CO 80033-2339 | 2019-05-20 |
| 1871984070 | Matthew Reynolds | Physical Therapist | 500 Chase Pkwy Fl 1, Waterbury, CT 06708-3346 | 2015-02-10 |
| 1760762629 | Matthew Reynolds | Surgery | 11200 Seminole Blvd Ste 210, Largo, FL 33778-3239 | 2011-08-24 |
| 1366947897 | Matthew Reynolds | Family Medicine | 2001 Vail Ave, Charlotte, NC 28207-1248 | 2018-03-27 |
| 1639698947 | Matthew David Reynolds | Registered Nurse | 3100 Summit St Fl 2, Oakland, CA 94609 | 2017-09-18 |
| 1760855639 | Matthew Reynolds | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-11-02 |
| 1366700122 | Matthew Thomas Reynolds | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-04-30 |
| 1063739803 | Matthew Lee Reynolds | Family Medicine | 1313 Red Riv Ste 100, Austin, TX 78701-1923 | 2010-05-03 |
| 1386872430 | Matthew R. Reynolds | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2009-06-29 |
| Find all providers with the same name | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396348322 | Jonnie Sid Napier | Counselor | 1219 Se Lafayette St, Portland, OR 97202-3802 | 2020-11-20 |
| 1760085286 | Ifs Telehealth Collective Inc | Counselor | 1130 Sw Morrison St Ste 328, Portland, OR 97205-2214 | 2020-11-18 |
| 1922601525 | Haley Jones | Counselor | 1905 Nw 29th Ave Apt 101, Portland, OR 97210-5332 | 2020-11-17 |
| 1932702701 | Lisa Headings | Counselor | 1525 Se 44th Ave Apt 203, Portland, OR 97215-3176 | 2020-11-16 |
| 1487256186 | Bishop Medical Group LLC | Counselor | 1250 Forest Ave Ste 201, Portland, ME 04103-6403 | 2020-11-09 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| Find all providers in PORTLAND | ||||
| Street Address |
2929 SW MULTNOMAH BLVD STE 203B |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.