Individual provider · Type 1 NPI

Mary Jedda

Addiction (Substance Use Disorder) Counselor · Milwaukie, OR

NPI number 1417849225 Active

Practice location

6902 SE Lake Rd
Milwaukie, OR 97267-2148

Call (971) 400-9256 Map

Mailing address

6200 SE King Rd
Portland, OR 97222-2891

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

17 other providers at this address

Other addiction (substance use disorder) counselor providers in Milwaukie

See all in Milwaukie →

About NPI 1417849225

Mary Jedda's National Provider Identifier is 1417849225, issued on Jul 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 16, 2025.