Healthcare Provider Details

I. General information

NPI: 1376465567
Provider Name (Legal Business Name): JOSE ARTURO CAMPOS ALFARO CADC-R, CRM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 N CASCADE DR SUITE 500
WOODBURN OR
97071
US

IV. Provider business mailing address

750 FRONT ST NE
SALEM OR
97301
US

V. Phone/Fax

Practice location:
  • Phone: 503-363-2021
  • Fax:
Mailing address:
  • Phone: 503-363-2021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberT266761
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: