NPI Index

CARLOS VAZQUEZ JR., CADC,CGAC,QMHA,CRM

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1053850750

Practice Address

3800 SW CEDAR HILLS BLVD STE 170
Beaverton, OR 97005

Phone: (503) 626-1800

Specialties

Specialty Code Primary License
Counselor 101Y00000X No G-24-05-1018 (OR)
Counselor - Mental Health 101YM0800X No 25-QMHA-II-000461 (OR)
Peer Specialist 175T00000X No 23-CGRM-020 (OR)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 23-06-20284 (OR)

Frequently Asked Questions

NPI 1053850750 is the National Provider Identifier for CARLOS VAZQUEZ JR., CADC,CGAC,QMHA,CRM, a Counselor - Addiction (Substance Use Disorder) provider located in Beaverton, OR. This NPI was enumerated on February 15, 2017.
CARLOS VAZQUEZ JR., CADC,CGAC,QMHA,CRM practices at 3800 SW CEDAR HILLS BLVD STE 170, Beaverton, OR 97005.

Quick Facts

NPI
1053850750
Type
Individual
Enumerated
Feb 15, 2017
Last Updated
Jan 7, 2026

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