Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JS TRUJILLO, CADCR CRM PSS QMHA-I
ActiveMARK JS TRUJILLO, CADCR CRM PSS QMHA-I is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1184489676 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · PORTLAND, OR
Registration Details
- NPI Number
- 1184489676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2024 (2.4536684206717 yrs)
- Last Updated
- Jun 10, 2025
- Licenses
-
T-24-3703 (OR)24-CRM-2956 (OR)25-QMHA-I-005035 (OR)111530 (OR)
Practice Information
- Address
-
1310 SW 17TH AVEPORTLAND, OR, 972012522Browse OR providers · Browse ZIP 97201
- Phone
- 5032312641
- Fax
- 5034674077
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| GARY D WARNOCK | CADC I | 1740484286 |
| KERI MCNICHOLAS | — | 1235322686 |
| MRS. DEBRA LYNN RUSSELL | — | 1760658462 |
| JIM V WHIPPLE | — | 1598095713 |
| SHERYL COOKSLEY | — | 1407145626 |
| KRATER H BUELL | PSS | 1538426978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.