Active NPIIndividual provider

Mr. Jeremy S Adversalo

Counselor, Mental Health in Tigard, Oregon

NPI Number1134412166
Practice location
11895 SW Greenburg RD, Tigard, OR 97223-6450
Fax
—
Last updated
May 24, 2011

Jeremy Saba Adversalo is a Counselor, Mental Health based in Tigard, OR. Jeremy Saba Adversalo practices in Tigard, OR. The NPI Number for Jeremy Saba Adversalo is 1134412166. The current practice location address for Jeremy Saba Adversalo is 11895 SW Greenburg RD, Tigard, OR 97223-6450 and can be reached out via phone at 503-597-3964.

Provider Profile Details

NPI Number
1134412166
Provider Name
Jeremy Saba Adversalo
Provider Entity Type
Individual
Gender
Male
Address
11895 SW Greenburg RD, Tigard, OR 97223-6450
Phone Number
503-597-3964
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2011
Last Update Date
May 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
11895 SW Greenburg RD
Tigard, OR 97223-6450
City
Tigard
State
Oregon
Zip
97223-6450
Phone Number
503-597-3964
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
10313 SW 69TH Ave
Tigard, OR 97223-9103
City
Tigard
State
OR
Zip
97223-9103
Phone Number
503-597-3964

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jeremy S Adversalo?

The NPI number of Mr. Jeremy S Adversalo is 1134412166. It was assigned on May 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeremy S Adversalo?

Mr. Jeremy S Adversalo is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mr. Jeremy S Adversalo practice?

The practice location is 11895 SW Greenburg RD, Tigard, OR 97223-6450. The office can be reached at 503-597-3964 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134412166 directly on the NPPES registry website.

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