Individual
JEFF LEE HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
T-21-1026
Contact information
Practice address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(503) 684-8159
Mailing address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(503) 684-8159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1026
OR
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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