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SAMUEL MATTINGLY
NPI 1699133488
Counselor - Mental Health in Fairview, OR

Active since February 08, 2016
1945 NE 205TH AVE, FAIRVIEW, OR 97024(503) 661-8050(503) 492-4651 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Mattingly NPPES

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

SAMUEL MATTINGLY (NPI 1699133488) is an individual mental health provider in Fairview, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1699133488
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL MATTINGLY
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (571) 451-5855
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
✔ NPI 1699133488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1945 NE 205TH AVE, Fairview, OR 97024
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH LYNN RAVEN-FISH
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
COLUMBIACARE SERVICES
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 660-8050
LISA CORDERO
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
LARA LOUGHLIN
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (541) 858-8170
DENISE MADDOCK
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
SARAH BOURGEOIS
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
CLINTON STIFFLER
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050
JOANNE STEINHAUER
Counselor (Mental Health)
1945 NE 205TH AVE
FAIRVIEW, OR 97024
Multnomah County (503) 661-8050

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 Samuel Mattingly's NPI number?

The NPI number for Samuel Mattingly is 1699133488. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Samuel Mattingly located?

Samuel Mattingly practices at 1945 NE 205th Ave, Fairview, OR 97024. The listed phone number is (503) 661-8050.

What is Samuel Mattingly'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 Samuel Mattingly was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.