Individual
MR. GERARDO MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CDC II
Contact information
Practice address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 766-2582
(503) 465-0165
Mailing address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 766-2582
(503) 465-0165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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