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Mr. Jeremy Saba Adversalo
Mental Health Counselor in Tigard, Oregon
NPI 1134412166

Jeremy Saba Adversalo is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Jeremy Saba Adversalo practices in Tigard, OR. The NPI Number for Jeremy Saba Adversalo is 1134412166 and holds a License No. (Oregon).

The current practice location address for Jeremy Saba Adversalo is 11895 Sw Greenburg Rd, Tigard, OR and can be reached out via phone at 503-597-3964.

Location: 11895 Sw Greenburg Rd, Tigard, OR, 97223-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134412166
Provider Name
Jeremy Saba Adversalo
Credential
Provider Entity Type
Individual
Gender
Male
Address
11895 Sw Greenburg Rd, Tigard, OR, 97223-9103
Phone Number
503-597-3964
Fax Number
Provider Enumeration Date
05/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11895 Sw Greenburg Rd
City
Tigard
State
Oregon
Zip
97223-6450
Phone Number
503-597-3964
Fax Number
person
Provider Business Mailing Address Details
Address
11895 Sw Greenburg Rd
City
Tigard
State
Oregon
Zip
97223-6450
Phone Number
503-597-3964
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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