Individual provider · Type 1 NPI

Jerry Lee Lester Swinger, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1114768348 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-4005 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114768348

Jerry Lee Lester Swinger, CADC-R's National Provider Identifier is 1114768348, issued on Jun 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jun 3, 2024.