Matthew Sprague Kidder

NPI #1003302621 in Portland, Oregon

Provider Information

NPI Number: 1003302621
Entity Type: Individual
Name: Matthew Sprague Kidder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 6, 2018
Last Updated: Jan 26, 2024

Practice Location

Address: 7330 SE 42ND AVE
City: Portland
State: Oregon
ZIP Code: 97206-8404
Phone: (503) 358-2891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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