Active NPIIndividual providerSole proprietor

Mr. Luis M Albarran Medina, CADC I, CRM

Counselor, Addiction (Substance Use Disorder) in Portland, Oregon

NPI Number1699182733
Practice location
18210 E Burnside St, Suite A, Portland, OR 97233-5343
Fax
503-465-0165
Last updated
February 2, 2016

Luis M. Albarran Medina is a Counselor, Addiction (Substance Use Disorder) based in Portland, OR. Luis M. Albarran Medina practices in Portland, OR and has the professional credentials of CADC I, CRM. The NPI Number for Luis M. Albarran Medina is 1699182733 and holds a License No. 13-09-02 (OR). The current practice location address for Luis M. Albarran Medina is 18210 E Burnside St, Suite A, Portland, OR 97233-5343 and can be reached out via phone at 503-334-8544 and via fax at 503-465-0165.

Provider Profile Details

NPI Number
1699182733
Provider Name
Luis M. Albarran Medina
Credential
CADC I, CRM
Provider Entity Type
Individual
Gender
Male
Address
18210 E Burnside St, Suite A, Portland, OR 97233-5343
Phone Number
503-334-8544
Fax Number
503-465-0165
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2014
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
18210 E Burnside St
Suite A
Portland, OR 97233-5343
State
Oregon
Zip
97233-5343
Phone Number
503-334-8544
Fax Number
503-465-0165
Portland, OR 97233Get directions →

Provider Business Mailing Address Details

Address
18210 E Burnside St
Suite A
Portland, OR 97233-5343
City
Portland
State
OR
Zip
97233-5343
Phone Number
503-334-8544
Fax Number
503-465-0165

License Information

License Number (1)
13-09-02
License State (1)
OR
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
15-PRC-009
License State (2)
OR
Taxonomy (2)
Counselor · 101Y00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Luis M Albarran Medina, CADC I, CRM?

The NPI number of Mr. Luis M Albarran Medina, CADC I, CRM is 1699182733. It was assigned on July 21, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Luis M Albarran Medina, CADC I, CRM?

Mr. Luis M Albarran Medina, CADC I, CRM is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number 13-09-02.

Where does Mr. Luis M Albarran Medina, CADC I, CRM practice?

The practice location is 18210 E Burnside St, Suite A, Portland, OR 97233-5343. The office can be reached at 503-334-8544 (phone) or 503-465-0165 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699182733 directly on the NPPES registry website.

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