person
Rafael Camarillo Martinez Villa
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1437915725

Rafael Camarillo Martinez Villa is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Rafael Camarillo Martinez Villa practices in Portland, OR. The NPI Number for Rafael Camarillo Martinez Villa is 1437915725 and holds a License No. 24-QMHA-R-4985 (Oregon).

The current practice location address for Rafael Camarillo Martinez Villa is 12672 Se Stark St, Portland, OR and can be reached out via phone at 503-546-9975.

Location: 12672 Se Stark St, Portland, OR, 97209-3609
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Provider Profile Details
NPI Number
1437915725
Provider Name
Rafael Camarillo Martinez Villa
Credential
Provider Entity Type
Individual
Gender
Male
Address
12672 Se Stark St, Portland, OR, 97209-3609
Phone Number
503-546-9975
Fax Number
Provider Enumeration Date
02/23/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12672 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-546-9975
Fax Number
person
Provider Business Mailing Address Details
Address
12672 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-546-9975
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-23-3018 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22-CRM-1246 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
24-QMHA-R-4985 (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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