Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN MATA
ActiveJUAN MATA is a Mental Health Counselor healthcare provider located in FAIRVIEW, Oregon. NPI 1790563864 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FAIRVIEW, OR
Registration Details
- NPI Number
- 1790563864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2023 (2.8759164171912 yrs)
- Last Updated
- Aug 19, 2025
- License
-
PROFESSIONALLICENSE
Practice Information
- Address
-
1945 NE 205TH AVEFAIRVIEW, OR, 970249622Browse OR providers · Browse ZIP 97024
- Phone
- 5036618050
- Fax
- 5034924651
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in FAIRVIEW, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JOSE L ALTIG | MSW | 1891893269 |
| DENISE MADDOCK | — | 1134287444 |
| CATHERINE DYNES | — | 1750410767 |
| LAROY LACKEY | — | 1780982454 |
| TODD CAPONETTO | — | 1245520824 |
| MONTREAL GRANVILLE | — | 1568744811 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.