Individual
CARMEN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I, CRM-II
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, STE 170, BEAVERTON, OR 97005
(503) 626-1800
(503) 200-1192
Mailing address
3800 SW CEDAR HILLS BLVD, STE 170, BEAVERTON, OR 97005
(503) 626-1800
(503) 200-1192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26-01-11748
OR
175T00000X
Peer Specialist
25-CRM-II-0503
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-CRM-II-0503
MHACBO-CRM
OR
01
—
26-01-11748
MHACBO-CADC
OR
Enumeration date
10/24/2024
Last updated
01/07/2026
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