NPI 1477391878

Jose Luis de La Torre, MA

Practitioner Prevention Professional Gresham, OR

Practice location

Address: 1312 E Powell Blvd, Gresham, OR 97030-8003
Phone: (503) 546-6377
Mailing address: 6200 SE King Rd, Portland, OR 97222-2891

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 93-0841022 (OR)

Other Prevention Professional providers in Oregon →

Peer Specialist

Other Service Providers Taxonomy 175T00000X Licence 93-0841022 (OR)

Other Peer Specialist providers in Oregon →

Registry record

NPI: 1477391878
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2024
Record last updated: 18 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.