Individual
MARTHA PEREZ ANGULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I, CRM
Contact information
Practice address
3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR 97005-2020
(503) 626-1800
Mailing address
3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR 97005-2020
(503) 626-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-08-11589
OR
175T00000X
Peer Specialist
23-CRM-1676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-CRM-1676
MHACBO CRM
OR
01
—
25-08-11589
MHACBO-CADC
OR
05
—
500820105
—
OR
05
—
500820117
—
OR
Enumeration date
05/19/2023
Last updated
01/07/2026
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