Provider Demographics
NPI:1700625613
Name:SEGER, JAMES LOWELL
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LOWELL
Last Name:SEGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7015 SW 33RD PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1706
Mailing Address - Country:US
Mailing Address - Phone:503-706-0402
Mailing Address - Fax:
Practice Address - Street 1:7015 SW 33RD PL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1706
Practice Address - Country:US
Practice Address - Phone:503-706-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health