Search › Oregon › 101YA0400X
Gerardo Mena, BA, CDC II
NPI 1578922621 · on the registry since 2016
Practice
- Address
- 18210 E Burnside St
Suite A
Portland, OR 97233 - Phone
- (503) 766-2582
- Fax
- (503) 465-0165
- Organisation at this address
- Advance Treatment Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon