Matthew Davis Anderson
Individual provider Active NPI Behavior Technician · Beaverton, OR
NPI 1629619622 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1629619622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1800 NW 169TH PL Ste B100
Beaverton, OR 97006-7362 - Phone
- (503) 350-7050
- Fax
- (866) 651-5542
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Connections Autism Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OR | Yes |
Addresses
Primary practice location
1800 NW 169TH PL Ste B100
Beaverton, OR 97006-7362
Mailing address
1800 NW 169TH PL Ste B100
Beaverton, OR 97006-7362
Phone (503) 350-7050
Other providers in Beaverton, OR
- Helen Marie Anderson
- Hope Anderson
- Jack Anderson
- Kyle Edward Anderson
- Mark Alan Anderson
- Megan Marie Anderson
- Scott H Anderson
- Tovi Marit Anderson
- Bryan Andrade
- Teresa Marie Andreoli
All providers in Beaverton, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.