Provider Demographics
NPI:1609267202
Name:ARMSTRONG, CYNTHIA LEI (CADC II, BS QMHA)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LEI
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CADC II, BS QMHA
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:LEI
Other - Last Name:ROGERS-ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC I CRM BS
Mailing Address - Street 1:PO BOX 8459
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97207-8459
Mailing Address - Country:US
Mailing Address - Phone:503-238-0769
Mailing Address - Fax:
Practice Address - Street 1:847 NE 19TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232
Practice Address - Country:US
Practice Address - Phone:503-238-0769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-18
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
ORCERTIFACATION#141017101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator