NPI 1063893386
Susan Jeys
Practice location
- Address
- 11970 SW Greenburg Rd, Tigard, OR 97223-6453
- Phone
- (541) 647-7435
- Mailing address
- 1027 E Burnside St, Portland, OR 97214-1328
Registered specialties (2)
Rehabilitation Practitioner
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1063893386
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2015
- Record last updated
- 16 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.