Mr. Anthony Douglas Dejesus, SUDPT, CADC-R
Mr. Anthony Douglas Dejesus, SUDPT, CADC-R is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
12662 SE Stark StPortland, OR 97233-1058
Phone: (503) 546-7677
Fax: (503) 517-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO60778717 (WA) |
|---|
Record details
| NPI number | 1871140350 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDPT , CADC-R |
| Sole proprietor | No |
| NPI enumerated | August 20, 2019 |
| Last updated in NPPES | February 16, 2021 |
| Certification date | February 16, 2021 |
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