person
Jim Wayne Fields II
Addiction (Substance Use Disorder) Counselor in Tigard, Oregon
NPI 1972024214

Jim Wayne Fields II is an Addiction (Substance Use Disorder) Counselor based in Tigard, OR and is specialized in Addiction (Substance Use Disorder). Jim Wayne Fields II practices in Tigard, OR. The NPI Number for Jim Wayne Fields II is 1972024214 and holds a License No. T-17-058 (Oregon).

The current practice location address for Jim Wayne Fields II is 10763 Sw Greenburg Rd, Tigard, OR and can be reached out via phone at 503-684-8159 and via fax at 503-598-0934.

Location: 10763 Sw Greenburg Rd, Tigard, OR, 97223-5492
person
Provider Profile Details
NPI Number
1972024214
Provider Name
Jim Wayne Fields II
Credential
Provider Entity Type
Individual
Gender
Male
Address
10763 Sw Greenburg Rd, Tigard, OR, 97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10763 Sw Greenburg Rd
City
State
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934
person
Provider Business Mailing Address Details
Address
10763 Sw Greenburg Rd
City
State
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-17-058 (Oregon)
Definition
Definition to come...
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