Omar Medina is a Portland, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Omar Medina is 93-0841022 for Addiction (Substance Use Disorder) Counselor in Oregon. His current practice location is 6200 Se King Rd, Portland. Patients can book an appointment with him at 503-546-6377.
Omar Medina is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Omar Medina speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Omar Medina
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
BSW, QMHA
Accepts Medicare Assignment:
No
Practice Address:
6200 Se King Rd, Portland, Oregon, 97222-2891
Phone:
503-546-6377
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1346780103
NPI Enumeration Date:
27 Feb, 2017
NPI Last Update On:
27 Feb, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Omar Medina are as mentioned below.
License Number
Specialization
State
Status
93-0841022
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Omar Medina such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500679014
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6200 Se King Rd, Portland, Oregon
Zip:
97222-2891
Phone Number:
503-546-6377
Patients can reach Omar Medina at 6200 Se King Rd, Portland, Oregon or can call to book an appointment on 503-546-6377. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.