Matthew Lovett Tallman, CRM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L18060 Issued in OR

Practice address

6904 N Knowles Ave
Portland, OR 97217-5117

Phone

(503) 753-0243

NPI assigned

Apr 6, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broader Path Therapy LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1184558033
  NPD Authorized official
• Sober Living Oregon Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oregon City, OR
  • NPI 1073081881
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1083078083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "971-445-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 N KNOWLES AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175117",
            "telephone_number": "503-753-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "MATTHEW",
        "middle_name": "LOVETT",
        "name_prefix": "Mr.",
        "credential": "CRM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talisman Acupuncture LLC
• Talking Twenties, PLLC
• Ari Robert Tallen, M.D.
• Catherine Dulcis Tallman, PHARMACIST
• Gregory Tallman, PHARM.D.
• Nora Jean Tallman, CNM
• Lauren Scott Talman, MD
• Sally Talmi
• Alana Lei Talob, LCSW
• Isaiah Talton

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.