Individual provider · Type 1 NPI

Omar Medina, BSW, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1346780103 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X93-0841022 (OR)

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

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About NPI 1346780103

Omar Medina, BSW, QMHA's National Provider Identifier is 1346780103, issued on Feb 27, 2017. 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 Feb 27, 2017.