Individual provider · Type 1 NPI

Jeremy Saba Adversalo

Mental Health Counselor · Tigard, OR

NPI number 1134412166 Active

Practice location

11895 SW Greenburg Rd
Tigard, OR 97223-6450

Mailing address

10313 SW 69th Ave
Tigard, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134412166

Jeremy Saba Adversalo's National Provider Identifier is 1134412166, issued on May 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on May 24, 2011.