Individual
MR. SEAN M. SYREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PWS, PRC, CADC I
Contact information
Practice address
10373 NE HANCOCK ST STE 106, PORTLAND, OR 97220-3894
(971) 337-4834
Mailing address
10373 NE HANCOCK ST STE 106, PORTLAND, OR 97220-3894
(971) 337-4834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-03-25
OR
175T00000X
Peer Specialist
15-CRM-022
OR
175T00000X
Peer Specialist
16-PRC-004
OR
175T00000X
Peer Specialist
THW0263
OR
Other
Enumeration date
03/25/2015
Last updated
04/17/2018
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