Individual provider · Type 1 NPI

Jim Wayne Fields Ii

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1972024214 Active

Practice location

10763 SW Greenburg Rd
Tigard, OR 97223-5492

Call (503) 684-8159 Map

Fax (503) 598-0934

Mailing address

10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-17-058 (OR)

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

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About NPI 1972024214

Jim Wayne Fields Ii's National Provider Identifier is 1972024214, issued on Jun 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Jun 27, 2017.