- Practice location
- 12250 SW 2ND St Ste A-102, Beaverton, OR 97005-2828
- Phone
- 503-218-3754
- Fax
- —
- Last updated
- December 6, 2022
Matthew Boylan is a Counselor, Mental Health based in Beaverton, OR. Matthew Boylan practices in Beaverton, OR. The NPI Number for Matthew Boylan is 1578937454 and holds a License No. R5789 (OR). The current practice location address for Matthew Boylan is 12250 SW 2ND St Ste A-102, Beaverton, OR 97005-2828 and can be reached out via phone at 503-218-3754.
Provider Profile Details
- NPI Number
- 1578937454
- Provider Name
- Matthew Boylan
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12250 SW 2ND St Ste A-102, Beaverton, OR 97005-2828
- Phone Number
- 503-218-3754
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 16, 2015
- Last Update Date
- December 6, 2022
- Certification Date
- December 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12250 SW 2ND St Ste A-102
Beaverton, OR 97005-2828 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2828
- Phone Number
- 503-218-3754
Provider Business Mailing Address Details
- Address
- 12250 SW 2ND St Ste A-102
Beaverton, OR 97005-2828 - City
- Beaverton
- State
- OR
- Zip
- 97005-2828
- Phone Number
- 503-218-3754
License Information
- License Number (1)
- R5789
- License State (1)
- OR
- Taxonomy (1)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (2)
- Adult Companion · 372600000X
- License Number (3)
- C6909
- License State (3)
- OR
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Matthew Boylan?
The NPI number of Matthew Boylan is 1578937454. It was assigned on November 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Matthew Boylan?
Matthew Boylan is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number R5789.
Where does Matthew Boylan practice?
The practice location is 12250 SW 2ND St Ste A-102, Beaverton, OR 97005-2828. The office can be reached at 503-218-3754 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578937454 directly on the NPPES registry website.