Mr Jeremy Saba Adversalo, - Counselor in Tigard, OR

Mr Jeremy Saba Adversalo, is a Counselor - Mental Health based in Tigard, Oregon. Mr Jeremy Saba Adversalo is licensed to practice in * (Not Available) (license number ) and his current practice location is 11895 Sw Greenburg Rd, Tigard, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 597-3964.

NPI number for Mr Jeremy Saba Adversalo is 1134412166 and his current mailing address is 10313 Sw 69th Ave, Tigard, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134412166.

Contact Information

Mr Jeremy Saba Adversalo,
11895 Sw Greenburg Rd,
Tigard, OR 97223-6450
(503) 597-3964
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jeremy Saba Adversalo
GenderMale
SpecialityCounselor - Mental Health
Location11895 Sw Greenburg Rd, Tigard, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134412166
  • Provider Enumeration Date: 05/24/2011
  • Last Update Date: 05/24/2011

Medical Identifiers

Medical identifiers for Mr Jeremy Saba Adversalo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134412166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Saba Adversalo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeremy Saba Adversalo,
10313 Sw 69th Ave,
Tigard, OR 97223-9103

Ph: (503) 597-3964
Mr Jeremy Saba Adversalo,
11895 Sw Greenburg Rd,
Tigard, OR 97223-6450

Ph: (503) 597-3964

Reviews and Comments


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