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IN SU JEOUNG
NPI 1033743364
Case Manager/Care Coordinator in Portland, OR

Active since February 25, 2020
2375 NW GLISAN ST, PORTLAND, OR 97210(503) 243-2236 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Feb 25, 2020 (2 updates tracked since 2020).

About In Su Jeoung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IN SU JEOUNG (NPI 1033743364) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1033743364
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameIN SU JEOUNG
Location Address2375 NW GLISAN STPortland, OR 97210-3420
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 243-2236
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 4, 20202 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
✔ NPI 1033743364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedAdult CompanionTaxonomy 372600000X
2375 NW GLISAN ST, Portland, OR 97210
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA MARIE DEITERING
Case Manager/Care Coordinator
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
KRISTIN RANSOM
Technician (Personal Care Attendant)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
BREANNA WALKER-SCHADLER
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
AMBER RENEE VAN BUSKIRK
Technician (Personal Care Attendant)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
SORREL JOHNSON
Adult Companion
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 719-5209
TARKPOR SONKARLAT TAPPEH
Case Manager/Care Coordinator
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
AIDAN STICKLES
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
STEPHANIE BALLMAN
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 243-2236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is In Su Jeoung's NPI number?

The NPI number for In Su Jeoung is 1033743364. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is In Su Jeoung located?

In Su Jeoung practices at 2375 NW Glisan St, Portland, OR 97210. The listed phone number is (503) 243-2236.

What is In Su Jeoung's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for In Su Jeoung was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.