1. Home
  2. Directory
  3. Oregon
  4. Milwaukie
  5. Peer Specialist
  6. NPI Profile

MARIELLA MANDUJANO
NPI 1144911231
Peer Specialist in Milwaukie, OR

Active since May 18, 2023
11097 SE 21ST AVE, MILWAUKIE, OR 97222(503) 974-9025 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariella Mandujano NPPES

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

MARIELLA MANDUJANO (NPI 1144911231) is an individual peer specialist in Milwaukie, Oregon, licensed in Oregon (THW000107858) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1144911231
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARIELLA MANDUJANO
Location Address11097 SE 21ST AVEMilwaukie, OR 97222-7640
Mailing Address11775 Sw 134th TerTigard, OR 97223-1581
Phone(503) 974-9025
Sole ProprietorNo
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1144911231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000107858
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.
11097 SE 21ST AVE, Milwaukie, OR 97222
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

AMANDA WILLARD
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 803-8055
SOLMAIRA TRUJILLO
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2579
DIEUSON ALIX
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 334-9295
DARRIN HERNANDEZ
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2754
ARMIN TRUJILLO II
Peer Specialist
11097 SE 21ST AVE
PORTLAND, OR 97222
Clackamas County (541) 521-0043
ARIELLE MORTENSEN
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 271-0891
SAMANTHA MICHELLE ELLIS BA
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 401-0364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariella Mandujano's NPI number?

The NPI number for Mariella Mandujano is 1144911231. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Mariella Mandujano located?

Mariella Mandujano practices at 11097 SE 21st Ave, Milwaukie, OR 97222. The listed phone number is (503) 974-9025.

What is Mariella Mandujano's specialty?

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

When was this NPI record last updated?

The NPPES record for Mariella Mandujano was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.