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MARY JEDDA
NPI 1417849225
Counselor - Addiction (Substance Use Disorder) in Milwaukie, OR

Active since July 16, 2025
6902 SE LAKE RD, MILWAUKIE, OR 97267(971) 400-9256 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jedda NPPES

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

MARY JEDDA (NPI 1417849225) is an individual addiction (substance use disorder) provider in Milwaukie, Oregon and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1417849225
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY JEDDA
Location Address6902 SE LAKE RDMilwaukie, OR 97267-2148
Mailing Address6200 Se King RdPortland, OR 97222-2891
Phone(971) 400-9256
Sole ProprietorNo
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1417849225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6902 SE LAKE RD, Milwaukie, OR 97267
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Other Providers at the Same Location NPPES 17

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

LEAH A SWETNAM MD
Internal Medicine (Nephrology)
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 786-1150
EEVA S GRAY RD, CDE
Dietitian, Registered
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1149
ANAHATA MEDICINE
Acupuncturist
6902 SE LAKE RD, STE 203
MILWAUKIE, OR 97267
Clackamas County (503) 547-7870
DR. CATHRYN LEE WISE MD
Internal Medicine (Nephrology)
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1167
HYON MI KIM RDH
Dental Hygienist
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 659-0930
LOIS AMY TOBIN RD,CSR,LD
Dietitian, Registered (Nutrition, Renal)
6902 SE LAKE RD, SUITE 302
MILWAUKIE, OR 97267
Clackamas County (503) 786-1148
TIMOTHY PAVLATOS M.S.
Counselor (Professional)
6902 SE LAKE RD, SUITE 202
MILWAUKIE, OR 97267
Clackamas County (503) 652-2810
DR. AARON NICKOLAS BOREN D.M.D.
Dentist
6902 SE LAKE RD, SUITE 200
MILWAUKIE, OR 97267
Clackamas County (503) 659-0930

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 Mary Jedda's NPI number?

The NPI number for Mary Jedda is 1417849225. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Mary Jedda located?

Mary Jedda practices at 6902 SE Lake Rd, Milwaukie, OR 97267. The listed phone number is (971) 400-9256.

What is Mary Jedda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Jedda was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.