Individual
JA'RAY TYRONE CEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10209 SE DIVISION ST, PORTLAND, OR 97266-1372
(503) 228-9229
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 235-8655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
19-CRM-2841
OR
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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