Individual
CIPRIANO JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II, CGAC II
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
101Y00000X
Counselor
G17-P-01
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-05-20275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-P-02
MHACBO CADC-I
OR
01
—
23-05-20275
MHACBO CADC-II
OR
05
—
500693890
—
OR
01
—
G17-P-01
MHACBO CGAC-II
OR
Enumeration date
10/07/2015
Last updated
05/19/2023
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