Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessie Edward Brazzle Jr., CADC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093851412

Jessie Edward Brazzle Jr., CADC1 is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2415 SE 43rd Ave Ste 2
Portland, OR 97206-1600
Phone: (503) 230-9654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CADC 1 (OR)

Record details

NPI number1093851412
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC1
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESSeptember 11, 2025

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