| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLOS JORGE VAZQUEZ | 1053850750 | 2024-03-10 |
Carlos Jorge Vazquez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053850750. Registration indicates Carlos Jorge Vazquez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Other Service Providers, Peer Specialist) (Peer Specialist, Other Service Providers) (Peer Specialist, ) (Other Service Providers, Peer Specialist) (Peer Specialist, Other Service Providers) (Peer Specialist, ) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Carlos Jorge Vazquez Jr. CADC-II, QMHA, CRM |
| Practice Office Address | 3800 SW CEDAR HILLS BLVD STE 170 BEAVERTON, OR US |
| Practice Office Telephone | 5036261800 |
| Mailing Address | 3800 SW CEDAR HILLS BLVD STE 170 BEAVERTON, OR 970052020 US |
| Business Telephone | 5036261800 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 23-QMHA-I-00402
OR |
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | TG-22-092
OR |
| 175T00000X | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist | 23-CGRM-020
OR |
| 175T00000X | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist | 21-CRM-704
OR |
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 23-06-20284
OR |
| 23-CGRM-020 | OTHER | OR | MHACBO CGRM |
| 21-CRM-704 | OTHER | OR | MHACBO CRM |
| 23-06-20284 | OTHER | OR | MHACBO CADC-II |
| 23-QMHA-I-00402 | OTHER | OR | MHACBO QMHA |
| TG-22-092 | OTHER | OR | MHACBO CGAC |
| 500732064 | MEDICAID | OR |