NPIMap

Individual provider Active NPI

Jesus Roberto Munoz-Zarate, CADC1

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1376973750
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
05- P-04 Issued in OR
Practice address
9370 SW Greenburg Rd
Suite 601
Portland, OR 97223-5442
Phone
(503) 246-5238
Fax
(503) 246-0570
NPI assigned
Nov 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 05- P-04 OR Primary

Addresses

Primary practice location

9370 SW Greenburg Rd
Suite 601
Portland, OR 97223-5442

Mailing address

9370 SW Greenburg Rd
Suite 601
Portland, OR 97223-5442
Phone (503) 246-5238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05- P-04ORMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: jesus.munoz.p1@direct.voaor.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1376973750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "address_2": "SUITE 601",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235442",
            "telephone_number": "503-246-5238",
            "fax_number": "503-246-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "address_2": "SUITE 601",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235442",
            "telephone_number": "503-246-5238",
            "fax_number": "503-246-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ-ZARATE",
        "first_name": "JESUS",
        "middle_name": "ROBERTO",
        "credential": "CADC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "05- P-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.