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JOSE MANRIQUEZ CRM
NPI 1578367884
Peer Specialist in Tigard, OR

Active since April 03, 2025
12540 SW MAIN ST STE 202, TIGARD, OR 97223(503) 906-9995 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose Manriquez Crm NPPES

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

JOSE MANRIQUEZ CRM (NPI 1578367884) is an individual peer specialist in Tigard, Oregon, licensed in Oregon (25-CRM-4297) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1578367884
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSE MANRIQUEZCredential: CRM
Location Address12540 SW MAIN ST STE 202Tigard, OR 97223-6198
Mailing Address12540 Sw Main St Ste 202Tigard, OR 97223-6198 · (503) 906-9995
Phone(503) 906-9995
Sole ProprietorYes
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1578367884 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 · 25-CRM-4297
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.
12540 SW MAIN ST STE 202, Tigard, OR 97223
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Other Providers at the Same Location NPPES 16

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

ARYA ROERIG CADC 1
Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995
RECOVERY WORKS NW LLC
Clinic/Center (Multi-Specialty)
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995
SARA KJESETH CRM
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995
TAMMY YOUNG CRM/PSS
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (458) 262-8374
MRS. JENNIFER ROSE WITTEN NP
Nurse Practitioner (Adult Health)
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995
KENNETH ALLEN DOUGHERTY CRM, QMHA-I
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995
ALEX E MAHLIOS CADC
Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
PORTLAND, OR 97223
Washington County (503) 906-9995
FRANK CARTER HABECKER CADC-R
Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Washington County (503) 906-9995

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 Jose Manriquez's NPI number?

The NPI number for Jose Manriquez is 1578367884. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Jose Manriquez located?

Jose Manriquez practices at 12540 SW Main St Ste 202, Tigard, OR 97223. The listed phone number is (503) 906-9995.

What is Jose Manriquez'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 Jose Manriquez was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.