Individual
SUSAN JEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11970 SW GREENBURG RD, TIGARD, OR 97223-6453
(541) 647-7435
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/16/2021
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