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Mario Alfonso Cardenas
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1427417500

Mario Alfonso Cardenas is an Addiction (Substance Use Disorder) Counselor based in Gresham, OR and is specialized in Addiction (Substance Use Disorder). Mario Alfonso Cardenas practices in Portland, OR. The NPI Number for Mario Alfonso Cardenas is 1427417500 and holds a License No. 12-CRM-074 (Oregon).

The current practice location address for Mario Alfonso Cardenas is 10570 Se Washington St, Portland, OR and can be reached out via phone at 503-995-3736.

Location: 10570 Se Washington St, Portland, OR, 97030-3210
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Provider Profile Details
NPI Number
1427417500
Provider Name
Mario Alfonso Cardenas
Credential
Provider Entity Type
Individual
Gender
Male
Address
10570 Se Washington St, Portland, OR, 97030-3210
Phone Number
503-995-3736
Fax Number
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12-CRM-074 05 OR
institution
Provider Business Practice Location Address Details
Address
10570 Se Washington St
City
State
Zip
97216-2846
Phone Number
503-995-3736
Fax Number
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Provider Business Mailing Address Details
Address
10570 Se Washington St
City
State
Zip
97216-2846
Phone Number
503-995-3736
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
12-CRM-074 (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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