Mark Js Trujillo, CADCR CRM PSS QMHA-I is a
Peer Specialist based in Portland, Oregon. Mark Js Trujillo is licensed to practice in Oregon (license number 111530) and his current practice location is
1310 Sw 17th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 231-2641.
NPI number for Mark Js Trujillo is 1184489676 and his current mailing address is 211 Se Caruthers St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184489676.
Healthcare Provider's Profile
| Full Name | Mark Js Trujillo |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1310 Sw 17th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184489676
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Mark Js Trujillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184489676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-24-3703 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 24-CRM-2956 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | 25-QMHA-I-005035 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 111530 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Js Trujillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Js Trujillo, CADCR CRM PSS QMHA-I
211 Se Caruthers St,
Portland, OR 97214-4502
Ph: (503) 224-1044 | Mark Js Trujillo, CADCR CRM PSS QMHA-I
1310 Sw 17th Ave,
Portland, OR 97201-2522
Ph: (503) 231-2641 |
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