Individual provider · Type 1 NPI

Mark JS Trujillo, CADCR CRM PSS QMHA-I

Peer Specialist · Portland, OR

NPI number 1184489676 Active

Practice location

1310 SW 17th Ave
Portland, OR 97201-2522

Call (503) 231-2641 Map

Fax (503) 467-4077

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-24-3703 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X24-CRM-2956 (OR)
Mental Health Counselor 101YM0800X25-QMHA-I-005035 (OR)
Peer Specialist Primary 175T00000X111530 (OR)

Peer Specialist: 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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About NPI 1184489676

Mark JS Trujillo, CADCR CRM PSS QMHA-I's National Provider Identifier is 1184489676, issued on Feb 14, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 10, 2025.