MARIO ALFONSO CARDENAS (NPI# 1427417500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427417500 |
| Entity Type | Individual |
| Full Name | MARIO ALFONSO CARDENAS |
| Practice Address |
10570 Se Washington St Portland OR 97216-2846 |
| Mailing Address |
2336 Ne Francis Pl Gresham OR 97030-3210 |
| Practice Telephone | 5039953736 |
| Mailing Telephone | (503) 995-3736 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | 12-CRM-074 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 12-CRM-074 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457757817 | Mario Cardenas | Pharmacist | 2213 S 45th St, Mcallen, TX 78503-8107 | 2014-11-13 |
| 1275954331 | Mario W. Cardenas | Registered Nurse | 15813 72nd Ave Apt 3d, Fresh Meadows, NY 11365-4138 | 2013-12-17 |
| Street Address |
10570 SE WASHINGTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602120 | Portable X Ray of Oregon LLC | Clinic/Center | 10570 Se Washington St, Suite 200, Portland, OR 97216 | 2006-01-09 |
| 1750830725 | Warm Springs Home Health Care Inc | Home Health | 10570 Se Washington St, Suite 213, Portland, OR 97216 | 2016-09-30 |
| 1538527320 | Leroy Augustus | Peer Specialist | 10570 Se Washington St, Portland, OR 97216-2846 | 2016-02-08 |
| 1003190547 | Pinnacle Hospice Care Inc | Hospice Care, Community Based | 10570 Se Washington St, Suite 207, Portland, OR 97216 | 2011-10-03 |
| 1154635589 | Northland Hearing Centers Incc | Audiologist-Hearing Aid Fitter | 10570 Se Washington St, Suite 210, Portland, OR 97216-2846 | 2010-07-27 |
| 1891008520 | P. Kelly Fitzpatrick | Counselor | 10570 Se Washington St, Suite 201, Portland, OR 97216-2846 | 2010-07-22 |
| 1700856580 | Ultrasound Northwest of Oregon LLC | Radiology | 10570 Se Washington St, Suite 200, Portland, OR 97216 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.