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SWAN GRACE MANDUJANO CRM/PSS
NPI 1891410866
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 11, 2022
1631 SW COLUMBIA ST, PORTLAND, OR 97201(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Swan Grace Mandujano Crm/pss NPPES

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

SWAN GRACE MANDUJANO CRM/PSS (NPI 1891410866) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (22-CRM-957) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1891410866
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSWAN GRACE MANDUJANOCredential: CRM/PSS
Location Address1631 SW COLUMBIA STPortland, OR 97201-6025
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1891410866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 22-CRM-957
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000106701 (OR)
1631 SW COLUMBIA ST, Portland, OR 97201
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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.

AMBER C LEWIS CRM/PSS
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JESSICA L SPAIN CADC I/QMHA-R
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
NICOLE MARIE WILLIAMS CADC II/QMHA-I
Counselor (Mental Health)
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ANDULIA WHITE ELK CADCI
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MIKE W BROCKMAN CADC II/QMHA-I
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
OULU MARIE NOONAN CADC-R
Rehabilitation Practitioner
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
PEGGY LACOMBE CADCII
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
NAIMAH JOHNSON QMHA-I
Counselor (Mental Health)
1631 SW COLUMBIA ST
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 Swan Mandujano's NPI number?

The NPI number for Swan Mandujano is 1891410866. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Swan Mandujano located?

Swan Mandujano practices at 1631 SW Columbia St, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Swan Mandujano'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 Swan Mandujano was last updated on October 11, 2022. 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.