Fernando Jose Pena, CADC II - Counselor in Portland, OR

Fernando Jose Pena, CADC II is a Counselor - Addiction (substance Use Disorder) based in Portland, Oregon. Fernando Jose Pena is licensed to practice in Oregon (license number 14-11-18) and his current practice location is 10209 Se Division St, Bldg D, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 716-0481.

NPI number for Fernando Jose Pena is 1265700884 and his current mailing address is Po Box 16756, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265700884.

Contact Information

Fernando Jose Pena, CADC II
10209 Se Division St, Bldg D,
Portland, OR 97266-1372
(503) 716-0481
(503) 208-2596

Map and Direction


Healthcare Provider's Profile

Full NameFernando Jose Pena
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location10209 Se Division St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265700884
  • Provider Enumeration Date: 12/09/2011
  • Last Update Date: 07/27/2016

Medical Identifiers

Medical identifiers for Fernando Jose Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265700884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 14-11-18 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fernando Jose Pena is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fernando Jose Pena, CADC II
Po Box 16756,
Portland, OR 97292-0756

Ph: (503) 593-2129
Fernando Jose Pena, CADC II
10209 Se Division St, Bldg D,
Portland, OR 97266-1372

Ph: (503) 716-0481

Reviews and Comments


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