Individual
JOSE MIJANGOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
205 SE 3RD AVE, SUITE 100, HILLSBORO, OR 97123-4093
(503) 535-1181
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 953-6820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/30/2013
Last updated
03/02/2015
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