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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: August 09, 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.

ANA MARIA MILBURN LCSW
Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
EMILY STREETER
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
KIMBERLY SAMANTHA GONZALEZ
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 358-1177
KANOUGHN LONGWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 757-5290
JOSEPH ALLEN LEICK
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
MIA MITCHELL YPSS
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
HELEN HERNANDEZ
Counselor (Mental Health)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 473-1732
CODY BLACKWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377

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 Omar Medina's NPI number?

The NPI number for Omar Medina is 1346780103. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Omar Medina located?

Omar Medina practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 546-6377.

What is Omar Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Omar Medina was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.