Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Manriquez, CRM

Individual provider Peer Specialist · NPI 1578367884

Jose Manriquez, CRM is a Peer Specialist in Tigard, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

12540 SW Main St Ste 202
Tigard, OR 97223-6198
Phone: (503) 906-9995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 25-CRM-4297 (OR)

Record details

NPI number1578367884
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorYes
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address12540 Sw Main St Ste 202, Tigard, OR 97223-6198

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