Provider Demographics
NPI:1790822351
Name:CONTRERAS, RIGOBERTO E (CADC I)
Entity Type:Individual
Prefix:MR
First Name:RIGOBERTO
Middle Name:E
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4799 WARD DR NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-3657
Mailing Address - Country:US
Mailing Address - Phone:503-393-0829
Mailing Address - Fax:
Practice Address - Street 1:399 YOUNG ST
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-4817
Practice Address - Country:US
Practice Address - Phone:503-981-5265
Practice Address - Fax:503-981-8736
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator