Adversalo, Jeremy Saba

Adversalo, Jeremy Saba is an individual health care provider with primary practice located at 11895 Sw Greenburg Rd , Tigard OR 97223-6450. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Adversalo, Jeremy Saba can be contacted via phone (503) 597-3964.

Contact Information

Primary practice address
11895 Sw Greenburg Rd Tigard OR 97223-6450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1134412166
LBN Legal business name Adversalo, Jeremy Saba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated May 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers