Individual
MR. LUIS M. ALBARRAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I, CRM
Contact information
Practice address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 334-8544
(503) 465-0165
Mailing address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 334-8544
(503) 465-0165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15-PRC-009
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-09-02
OR
Other
Enumeration date
07/21/2014
Last updated
02/02/2016
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