Individual
JESSIE EDWARD BRAZZLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
2415 SE 43RD AVE, SUITE 2, PORTLAND, OR 97206-1600
(503) 230-9654
Mailing address
2415 SE 43RD AVE, SUITE 2, PORTLAND, OR 97206-1600
(503) 230-9654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 1
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us