MATT PROSA
NPI 1912872896
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 09, 2025
16420 SE DIVISION ST, PORTLAND, OR 97236(503) 762-3130 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matt Prosa NPPES

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

MATT PROSA (NPI 1912872896) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1912872896
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATT PROSA
Location Address16420 SE DIVISION STPortland, OR 97236-1987
Mailing Address16420 Se Division StPortland, OR 97236-1987
Sole ProprietorNo
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1912872896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
16420 SE DIVISION ST, Portland, OR 97236

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Health Service)
16420 SE DIVISION ST
PORTLAND, OR 97236
Counselor (Addiction (Substance Use Disorder))
16420 SE DIVISION ST
PORTLAND, OR 97236
Counselor (Addiction (Substance Use Disorder))
16420 SE DIVISION ST
PORTLAND, OR 97236
Counselor (Addiction (Substance Use Disorder))
16420 SE DIVISION ST
PORTLAND, OR 97236
Peer Specialist
16420 SE DIVISION ST
PORTLAND, OR 97236
Counselor (Addiction (Substance Use Disorder))
16420 SE DIVISION ST
PORTLAND, OR 97236
Counselor (Addiction (Substance Use Disorder))
16420 SE DIVISION ST
PORTLAND, OR 97236
Clinic/Center (Methadone)
16420 SE DIVISION ST
PORTLAND, OR 97236

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 Matt Prosa's NPI number?

The NPI number for Matt Prosa is 1912872896. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Matt Prosa located?

Matt Prosa practices at 16420 SE Division St, Portland, OR 97236. The listed phone number is (503) 762-3130.

What is Matt Prosa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Matt Prosa was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.