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MARK JS TRUJILLO CADCR CRM PSS QMHA-I
NPI 1184489676
Peer Specialist in Portland, OR

Active since February 14, 2024
1310 SW 17TH AVE, PORTLAND, OR 97201(503) 231-2641(503) 467-4077 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Js Trujillo Cadcr Crm Pss Qmha-i NPPES

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

MARK JS TRUJILLO CADCR CRM PSS QMHA-I (NPI 1184489676) is an individual peer specialist in Portland, Oregon, licensed in Oregon (111530) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1184489676
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK JS TRUJILLOCredential: CADCR CRM PSS QMHA-I
Location Address1310 SW 17TH AVEPortland, OR 97201-2522
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (503) 224-1044
Phone(503) 231-2641
Fax(503) 467-4077
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1184489676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 111530
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-24-3703 (OR), 24-CRM-2956 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-I-005035 (OR)
1310 SW 17TH AVE, Portland, OR 97201
Open in Google Maps ↗

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.

DONNA M TURQUOISE QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
KAY M COCKERILL QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JOHN S ALAM QMHA-I
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MRS. BRANDY MICHELLE REMPEL CRM
Counselor (Addiction (Substance Use Disorder))
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
AMY A THOMPSON QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
CHARLES ANNICH PSS/CRM
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
TONYA M JONES CRM/PSS/QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ASHLEY A COIA QMHP-R
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641

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 Mark Trujillo's NPI number?

The NPI number for Mark Trujillo is 1184489676. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Mark Trujillo located?

Mark Trujillo practices at 1310 SW 17th Ave, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Mark Trujillo'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 Mark Trujillo was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.