Individual provider · Type 1 NPI

Ricardo Garcia Cisneros, CADC-R, CRM-II, CGRM

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1023705605 Active

Practice location

2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715

Call (503) 335-8611 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XN24-CRM-II-0200 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-5551 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023705605

Ricardo Garcia Cisneros, CADC-R, CRM-II, CGRM's National Provider Identifier is 1023705605, issued on Apr 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2025.