Sean M. Syrek, PWS, PRC, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18-03-25 Issued in OR

Practice address

10373 NE Hancock St Ste 106
Portland, OR 97220-3894

Phone

(971) 337-4834

NPI assigned

Mar 25, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1609260801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203894",
            "telephone_number": "971-337-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203894",
            "telephone_number": "971-337-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYREK",
        "first_name": "SEAN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PWS, PRC, CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "15-CRM-022",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW0263",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "16-PRC-004",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18-03-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Women'S Health Care
• Synergy Women'S Health Care, LLC
• Synergy Women'S Health Care, LLC
• Candis Synsvoll, PT
• Andrew P Sype, D.M.D.
• Virginia M Sytsma, MD
• Aleksey Syulyukov, RRT
• Alexander L Syum
• Anastasiia Syvak
• Sydney Syverson

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.