Individual
JUSTINA RAMERIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
1122 NE 122ND AVE STE A200, PORTLAND, OR 97230-2083
(503) 594-4766
Mailing address
1122 NE 122ND AVE STE A200, PORTLAND, OR 97230-2083
(503) 594-4766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-214
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-20-214
MHACBO
OR
Enumeration date
06/09/2020
Last updated
06/09/2020
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