Individual
RICARDO ANTONIO VERDEGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
1949 SE 122ND AVE, PORTLAND, OR 97233-1303
(503) 546-9975
(503) 546-9976
Mailing address
4150 NE MLK BLVD APT 309, PORTLAND, OR 97211-3494
(503) 546-9975
(503) 546-9976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15- P-02
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/16/2013
Last updated
07/08/2015
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