MR. Anthony Douglas Dejesus, SUDPT, CADC-R is an addiction (substance use disorder) counselor in Portland, OR. MR. Anthony Douglas Dejesus, SUDPT, CADC-R NPI is 1871140350. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12662 SE STARK ST
PORTLAND, OR
ZIP 97233-058
Phone: (503) 546-7677
Fax: (503) 517-7768
The enumeration date for this NPI number is 8/20/2019 and was last updated on 2/16/2021.