Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ray Crowder Jr.

Individual provider Peer Specialist · NPI 1538849476

Kelly Ray Crowder Jr. is a Peer Specialist in Coos Bay, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone: (541) 756-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1538849476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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