Individual provider · Type 1 NPI

Alicia Vasquez, BS, QMHA

Mental Health Counselor · Portland, OR

NPI number 1326548504 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Call (503) 352-2400 Map

Fax (503) 352-2403

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1326548504

Alicia Vasquez, BS, QMHA's National Provider Identifier is 1326548504, issued on Feb 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2020.