Individual provider · Type 1 NPI

Jesse Decker

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1760012942 Active

Practice location

1109 NE 113th Ave
Portland, OR 97220-2213

Call (503) 830-6328 Map

Specialties and licenses

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

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

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About NPI 1760012942

Jesse Decker's National Provider Identifier is 1760012942, issued on Jan 16, 2020. 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 Dec 28, 2021.