Individual provider · Type 1 NPI

Fernando Jose Pena, CADC II

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1265700884 Active

Practice location

10209 SE Division St, Bldg D
Portland, OR 97266-1372

Call (503) 716-0481 Map

Fax (503) 208-2596

Mailing address

PO Box 16756
Portland, OR 97292-0756

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-11-18 (OR)

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

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About NPI 1265700884

Fernando Jose Pena, CADC II's National Provider Identifier is 1265700884, issued on Dec 9, 2011. 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 27, 2016.