Provider Demographics
NPI:1407050016
Name:DELHOYO, JOSE A (QMHP)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:A
Last Name:DELHOYO
Suffix:
Gender:M
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 NE 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2222
Mailing Address - Country:US
Mailing Address - Phone:503-228-9229
Mailing Address - Fax:503-228-9558
Practice Address - Street 1:3737 PORTLAND RD NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97303-2511
Practice Address - Country:US
Practice Address - Phone:503-390-2600
Practice Address - Fax:503-856-7098
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist