Provider Demographics
NPI:1952004137
Name:LATINO NETWORK
Entity Type:Organization
Organization Name:LATINO NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH PROGRAM MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURGADO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:503-283-6881
Mailing Address - Street 1:410 NE 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2882
Mailing Address - Country:US
Mailing Address - Phone:503-283-6881
Mailing Address - Fax:
Practice Address - Street 1:410 NE 18TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2882
Practice Address - Country:US
Practice Address - Phone:503-283-6881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty