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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710693544

Mark Anthony Halloran Jr., PSSCRMQMHARCADCR is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

5415 SW Westgate Dr
Portland, OR 97221-2409
Phone: (971) 727-8026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 24-QMHA-R6242 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence T-24-4760 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 000106008 (OR)

Record details

NPI number1710693544
Entity typeIndividual (Type 1)
GenderMale
Credentials PSSCRMQMHARCADCR
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

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