Search › Oregon › 101YA0400X
Anthony Dejesus, SUDPT, CADC-R
NPI 1871140350 · on the registry since 2019
Practice
- Address
- 12662 Se Stark St
Portland, OR 97233 - Phone
- (503) 546-7677
- Fax
- (503) 517-7768
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon