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Carlos Jorge Vazquez JR., CADC-II,QMHA,CRM
Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon
NPI 1053850750

Carlos Jorge Vazquez JR. is an Addiction (Substance Use Disorder) Counselor based in Beaverton, OR and is specialized in Addiction (Substance Use Disorder). Carlos Jorge Vazquez JR. practices in Beaverton, OR and has the professional credentials of CADC-II,QMHA,CRM. The NPI Number for Carlos Jorge Vazquez JR. is 1053850750 and holds a License No. 23-QMHA-I-004029 (Oregon).

The current practice location address for Carlos Jorge Vazquez JR. is 3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR and can be reached out via phone at 503-626-1800. You can also correspond with Carlos Jorge Vazquez JR. through the mailing address at 3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR - 97005-2020 (mailing address contact number: 503-626-1800).

Location: 3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR, 97005-2020
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Provider Profile Details
NPI Number
1053850750
Provider Name
Carlos Jorge Vazquez JR.
Credential
CADC-II,QMHA,CRM
Provider Entity Type
Individual
Gender
Male
Address
3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR, 97005-2020
Phone Number
503-626-1800
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-CGRM-020 01 OR MHACBO CGRM
21-CRM-704 01 OR MHACBO CRM
23-06-20284 01 OR MHACBO CADC-II
23-QMHA-I-004029 01 OR MHACBO QMHA
TG-22-092 01 OR MHACBO CGAC
500732064 05 OR
institution
Provider Business Practice Location Address Details
Address
3800 Sw Cedar Hills Blvd Ste 170
City
State
Zip
97005-2020
Phone Number
503-626-1800
Fax Number
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Provider Business Mailing Address Details
Address
3800 Sw Cedar Hills Blvd Ste 170
City
State
Zip
97005-2020
Phone Number
503-626-1800
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
21-CRM-704 (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23-CGRM-020 (Oregon)
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
TG-22-092 (Oregon)
Definition
Definition to come...
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Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-QMHA-I-004029 (Oregon)
Definition
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.
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