OMAR MEDINA

PORTLAND, OR
NPI1346780103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  93-0841022)
Enumeration Date2017-02-27
Last Update Date2017-02-27
Business Address
-- OMAR MEDINA BSW, QMHA
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
Mailing Address
-- OMAR MEDINA BSW, QMHA
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-6377
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