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OMAR MEDINA BSW, QMHA
NPI 1346780103
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 27, 2017
6200 SE KING RD, PORTLAND, OR 97222(503) 546-6377 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omar Medina Bsw, Qmha NPPES

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

OMAR MEDINA BSW, QMHA (NPI 1346780103) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (93-0841022) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1346780103
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameOMAR MEDINACredential: BSW, QMHA
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891 · (503) 546-6377
Phone(503) 546-6377
Sole ProprietorNo
Enumeration DateFebruary 27, 2017
✔ NPI 1346780103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 93-0841022
6200 SE KING RD, Portland, OR 97222
Open in Google Maps ↗

Other Identifiers 1

Medicaid500679014OR

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.

RUTH S. HAYES-BARBA LCSW
Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
CARLOS V ROMERO CADC L., CPS
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
SHARYN DEMOSS
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
JACLYN KAHNKE MA, CADC I
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
RUSSELL BRECHBIEL
Counselor
6200 SE KING RD
MILWAUKIE, OR 97222
Clackamas County (503) 546-6377
KIMBERLY LOPEZ
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
ROBERT HARRIS
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
HARRY APELBAUM
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377

Frequently Asked Questions

What is Omar Medina's NPI number?

The NPI number assigned to this healthcare provider is 1346780103, enumerated as an "individual" on February 27, 2017.

Where is the provider located?

The provider is located at 6200 SE KING RD PORTLAND, OR 97222 and the phone number is (503) 546-6377.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Omar Medina accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.