In Su Jeoung
In Su Jeoung is an Adult Companion in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2375 NW Glisan StPortland, OR 97210-3420
Phone: (503) 243-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1033743364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 25, 2020 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
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