Individual
RICARDO GARCIA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R,CRM-II,CGRM
Contact information
Practice address
2318 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
2318 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3715
(971) 427-1544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5551
OR
175T00000X
Peer Specialist
N24-CRM-II-0200
OR
Other
Enumeration date
04/24/2023
Last updated
07/31/2025
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