Provider Demographics
NPI:1831319342
Name:SANCHEZ, MARCOS TRANQUILINO (MA, CADC I)
Entity Type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:TRANQUILINO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MA, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8440 SW LAFAYETTE WAY
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9498
Mailing Address - Country:US
Mailing Address - Phone:503-694-6104
Mailing Address - Fax:
Practice Address - Street 1:8440 SW LAFAYETTE WAY
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9498
Practice Address - Country:US
Practice Address - Phone:503-694-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health