Individual
CAROLE RUTH HINOJOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 288-8133
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 288-8133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21-07-10191
OR
175T00000X
Peer Specialist
Primary
17-CRM-125
OR
Other
Enumeration date
03/17/2020
Last updated
07/15/2021
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