Jesse Decker
Jesse Decker is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1109 NE 113th AvePortland, OR 97220-2213
Phone: (503) 830-6328
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1760012942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 16, 2020 |
| Last updated in NPPES | December 28, 2021 |
| Certification date | December 28, 2021 |
| Mailing address | 1109 Ne 113th Ave, Portland, OR 97220-2213 |
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