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

Omar Medina, BSW, QMHA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1346780103

Omar Medina, BSW, QMHA is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

6200 SE King Rd
Portland, OR 97222-2891
Phone: (503) 546-6377
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 93-0841022 (OR)

Record details

NPI number1346780103
Entity typeIndividual (Type 1)
GenderMale
Credentials BSW , QMHA
Sole proprietorNo
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017

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