Individual provider · Type 1 NPI

Juan Manuel Cardenas

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1114853165 Active

Practice location

215 SE 102nd Ave
Portland, OR 97216-2700

Call (503) 546-9975 Map

Mailing address

121 NW Everett St
Portland, OR 97209-4049

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-6314 (OR)

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

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About NPI 1114853165

Juan Manuel Cardenas's National Provider Identifier is 1114853165, issued on Jun 18, 2026. 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 Jun 18, 2026.