person
Fernando Jose Pena, CADCII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1265700884

Fernando Jose Pena is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Fernando Jose Pena practices in Portland, OR and has the professional credentials of CADCII. The NPI Number for Fernando Jose Pena is 1265700884 and holds a License No. 14-11-18 (Oregon).

The current practice location address for Fernando Jose Pena is 10209 Se Division St, Portland, OR and can be reached out via phone at 503-716-0481 and via fax at 503-208-2596.

Location: 10209 Se Division St, Portland, OR, 97292-0756
person
Provider Profile Details
NPI Number
1265700884
Provider Name
Fernando Jose Pena
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
10209 Se Division St, Portland, OR, 97292-0756
Phone Number
503-716-0481
Fax Number
503-208-2596
Provider Enumeration Date
12/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10209 Se Division St
City
State
Zip
97266-1372
Phone Number
503-716-0481
Fax Number
503-208-2596
person
Provider Business Mailing Address Details
Address
10209 Se Division St
City
State
Zip
97266-1372
Phone Number
503-716-0481
Fax Number
503-208-2596
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14-11-18 (Oregon)
Definition
Definition to come...
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