Kenneth Clifton Patterson, THW000104598
Kenneth Clifton Patterson, THW000104598 is a Peer Specialist in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
2555 Silverton Rd NESalem, OR 97301-0837
Phone: (503) 573-7018
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000104598 (OR) |
|---|
Record details
| NPI number | 1568034742 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | THW000104598 |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2021 |
| Last updated in NPPES | July 15, 2021 |
| Certification date | July 15, 2021 |
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