Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Js Trujillo, CADCRCRMPSSQMHA-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184489676

Mark Js Trujillo, CADCRCRMPSSQMHA-I is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

1310 SW 17th Ave
Portland, OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 111530 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence T-24-3703 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24-CRM-2956 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 25-QMHA-I-005035 (OR)

Record details

NPI number1184489676
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCRCRMPSSQMHA-I
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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