MATTHEW RUDD REYNOLDS
NPI 1154923308
Counselor - Mental Health in Portland, OR

Active since November 12, 2020
2929 SW MULTNOMAH BLVD STE 203B, PORTLAND, OR 97219(503) 388-7011 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Rudd Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW RUDD REYNOLDS (NPI 1154923308) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R5679) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1154923308
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW RUDD REYNOLDS
Location Address2929 SW MULTNOMAH BLVD STE 203BPortland, OR 97219-4070
Mailing Address2929 Sw Multnomah Blvd Ste 203bPortland, OR 97219-4070 · (503) 388-7011
Sole ProprietorYes
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
NPI 1154923308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · R5679
2929 SW MULTNOMAH BLVD STE 203B, Portland, OR 97219

Other Identifiers 1

OtherR5679OR · Oregon Board Of Counselors And Therapists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Reynolds's NPI number?

The NPI number for Matthew Reynolds is 1154923308. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Matthew Reynolds located?

Matthew Reynolds practices at 2929 SW Multnomah Blvd Ste 203B, Portland, OR 97219. The listed phone number is (503) 388-7011.

What is Matthew Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Reynolds was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.