Individual provider · Type 1 NPI

Scott Desi Sudaisar

Prevention Professional · Sherwood, OR

NPI number 1649955980 Active

Practice location

22350 SW Pine St
Sherwood, OR 97140-9075

Mailing address

PO Box 1238
Newberg, OR 97132-8238

Other practice locations

  • 62910 O B Riley Rd Ste 301-B, Bend, OR 97703-8697 · (503) 349-5828

Specialties and licenses

TaxonomyCodeLicense
Prevention Professional Primary 405300000X083697 (OR)

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

Another provider at this address

About NPI 1649955980

Scott Desi Sudaisar's National Provider Identifier is 1649955980, issued on Jun 15, 2023. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in Sherwood, OR. The record was last updated on Jun 15, 2023.