Individual
MS. RUTH PARRA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I, CGAC-R, 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
101Y00000X
Counselor
TG-23-191
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-05-11104
OR
175T00000X
Peer Specialist
23-CRM-1780
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-CRM-1780
MHACBO (CRM)
OR
01
—
24-05-11104
MHACBO (CADC)
OR
05
—
500812258
—
OR
01
—
TG-23-191
MHACBO (CGAC)
OR
Enumeration date
10/13/2022
Last updated
05/13/2024
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