Maria Jose Matos I

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

108714 Issued in OR

Practice address

395 W Main St
Hillsboro, OR 97123-3947

Phone

(503) 591-9280

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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.

• Sequoia Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Aloha, OR
  • NPI 1730167982
  NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1093595688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781557",
            "telephone_number": "035-591-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233947",
            "telephone_number": "503-591-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "108714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Masuret
• Howard Vergara Mateo
• Rohit Varghese Mathew, PA-C
• Timothy Matia
• Shamim Matin, D.C
• Karly Matson
• Melvin L. Matsuda, D.D.S.
• Michael Loren Matsuda, DDS
• Kiana Matsumoto
• Laura M. Matsunami, PA-C

• Peer Specialist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.