| Doctor Name: | MATTHEW JOSEPH BARTOLOTTI |
| NPI Number: | 1013063643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCW |
| License Number: | L3716 |
| Business Practice Address: | 400 Ne 7th St Gresham, OR - 970305604 |
| Business Phone Number: | 5034892236 |
| Business Fax Number: | |
| Mailing Address: | 5527 Se 54th Ave, PORTLAND |
| State: | OR |
| Postal Code: | 972065659 |
| Phone Number: | 5038609406 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L3716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |