Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790168078 Deactivated / Inactive NPI Male Practitioner

Matthew Green , PSS

Peer Specialist • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2015
NPI Deactivation Date June 17, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Matthew Green, PSS was a registered Peer Specialist practicing in Gresham, OR. Throughout an active medical career spanning 6 years, Matthew Green provided care at the practice location at 400 NE 7TH ST until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

400 Ne 7th St

Gresham, OR 970305604

Telephone 5036615455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Gresham, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laurie Ricken , BA

Counselor - Mental Health

NPI 1013205780

Bachelor of Arts

Rachel Tolon

Case Manager/Care Coordinator

NPI 1023540283
Cheryl Jardine , LPC, QMHP

Counselor - Professional

NPI 1033284963

Licensed Professional Counselor, Qualified Mental Health Professional

Bonita Baxter

Counselor - Addiction (Substance Use Disorder)

NPI 1033665898
Donna Anderson , MSW, QMHP

Social Worker - Clinical

NPI 1053335398

Master of Social Work, Qualified Mental Health Professional

Mary Bower , MA

Counselor - Mental Health

NPI 1053551416

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active July 03, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 03, 2015

Registered at 400 NE 7TH ST, GRESHAM, OR 970305604 (Tel: 5036615455)

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Updated Business Mailing Address July 03, 2015

Registered at 400 NE 7TH ST, GRESHAM, OR 970305604 (Tel: 5036615455)

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Provider Name / Credentials Updated July 03, 2015

Recorded as MATTHEW GREEN, P.S.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2015

Peer Specialist

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Initial NPI Registration & Enumeration July 03, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790168078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2015
Last Update: July 03, 2015
Deactivation Date: June 17, 2021

Mailing Address

400 Ne 7th St

Gresham, OR 970305604

Phone: 5036615455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.