Juarez, Cipriano

Juarez, Cipriano is an individual health care provider with primary practice located at 3800 Sw Cedar Hills Blvd Ste 170 , Beaverton OR 97005-2020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Juarez, Cipriano can be contacted via phone (503) 626-1800.

Contact Information

Primary practice address
3800 Sw Cedar Hills Blvd Ste 170 Beaverton OR 97005-2020
Phone: (503) 626-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X G17-P-01 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23-05-20275 Oregon

Profile Details

NPI number 1962873612
LBN Legal business name Juarez, Cipriano
Credentials CADC II, CGAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated May 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962873612 NPPES
Oregon Other 23-05-20275 MHACBO CADC-II
Oregon Other 14-P-02 MHACBO CADC-II
Oregon Other G17-P-01 MHACBO CADC-II
Oregon MEDICAID 500693890 MHACBO CADC-II

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