JOSE ANTONIO QUINTERO
NPI 1104339696
Peer Specialist in Portland, OR

Q: What is Jose Quintero's NPI number?

The NPI number for Jose Quintero is 1104339696. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Q: What is Jose Quintero's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Quintero was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2017

10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 228-9229(503) 228-9558 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jose Antonio Quintero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE ANTONIO QUINTERO (NPI 1104339696) is an individual peer specialist in Portland, Oregon and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1104339696

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJOSE ANTONIO QUINTERO

Location Address10564 SE WASHINGTON STPortland, OR 97216-2809

Mailing Address10564 Se Washington StPortland, OR 97216-2809 · (503) 228-9229 · Fax (503) 228-9558

Phone(503) 228-9229

Fax(503) 228-9558

Sole ProprietorYes

Enumeration DateNovember 7, 2017

✔ NPI 1104339696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

10564 SE WASHINGTON ST, Portland, OR 97216

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RYAN OTTO MACHERAS CRM

Peer Specialist