Camarillo Martinez Villa, Rafael

Camarillo Martinez Villa, Rafael is an individual health care provider with primary practice located at 12672 Se Stark St , Portland OR 97233-1058. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Camarillo Martinez Villa, Rafael can be contacted via phone (503) 546-9975.

Contact Information

Primary practice address
12672 Se Stark St Portland OR 97233-1058
Phone: (503) 546-9975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 24-QMHA-R-4985 Oregon
Other Service Providers / Peer Specialist 175T00000X 22-CRM-1246 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-23-3018 Oregon

Profile Details

NPI number 1437915725
LBN Legal business name Camarillo Martinez Villa, Rafael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2024
Last updated Feb 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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