Melvin Jess Guardipee Jr., CADC II
Counselor, Addiction (Substance Use Disorder) in Portland, OR. Individual provider (NPI-1).
Details
- NPI
- 1043661713
- Entity type
- Individual (NPI-1)
- Name
- Mr. Melvin Jess Guardipee Jr.
- Credential
- CADC II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2016
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1427 Se 182nd AvePortland, OR 97233-5008
Phone 503-761-6006 · Fax 503-761-1434
Mailing address
1027 E Burnside StPortland, OR 97214-1328
Phone 503-239-8400 · Fax 503-239-8406
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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