RAIDEL LEON CADC I QMHA NPI 1891001137

NPI Information

NPI: 1891001137
Provider Name: RAIDEL LEON, CADC I, QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
231 SE 12TH AVE
PORTLAND, OR
ZIP 97214
Phone: (503) 546-9975
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Raidel Leon, CADC I, QMHA is an addiction (substance use disorder) counselor in Portland, OR. Raidel Leon, CADC I, QMHA NPI is 1891001137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

231 SE 12TH AVE
PORTLAND, OR
ZIP 97214-342
Phone: (503) 546-9975
Fax: (503) 546-9976

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	09-09-27	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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