Individual
LORI ANN GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
(503) 335-8636
Mailing address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
(503) 335-8636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-07-05
OR
175T00000X
Peer Specialist
18-CRM-II-001
OR
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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