MEDICARE: DEBORAH JEAN SEVIGNY-RESETCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		OR

General Provider Information

NPI Number	:	1992650212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JEAN SEVIGNY-RESETCO

Provider Business Mailing Address
First Line	:	9116 SW BECKER DR
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-7252
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2142 COLLEGE WAY
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-1727
Country	:	US
Telephone Number	:	503-352-2269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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