DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSIE EDWARD BRAZZLE JR., CADC 1

Active

JESSIE EDWARD BRAZZLE JR., CADC 1 is a Case Manager healthcare provider located in PORTLAND, Oregon. NPI 1093851412 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PORTLAND, OR

Registration Details

NPI Number
1093851412
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.349798836227 yrs)
Last Updated
Sep 11, 2025
License
CADC 1 (OR)

Practice Information

Address
2415 SE 43RD AVE
SUITE 2
PORTLAND, OR, 972061600
Browse OR providers · Browse ZIP 97206
Phone
5032309654
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in PORTLAND, OR

Name Credential NPI
MR. DUSTIN DANDLIKER QMHA 1467498386
MS. JILLIAN SMITH 1013945294
MS. KIM HAMILTON RN 1447288576
MS. CORTNEY PINION 1235155094
BEATRICE K JOHNSON 1912070806
ANDREW GUSTAFSON 1376602367
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.