Jim Wayne Fields II

NPI #1972024214 in Tigard, Oregon

Provider Information

NPI Number
1972024214
Entity Type
Individual
Name
Jim Wayne Fields II
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jun 27, 2017
Last Updated
Jun 27, 2017

Practice Location

Address
10763 SW GREENBURG RD
City
Tigard
State
Oregon
ZIP Code
97223-5492
Phone
(503) 684-8159

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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