Kennyon Peterkin, CRM
Kennyon Peterkin, CRM is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
2600 SE Belmont StPortland, OR 97214-2916
Phone: (503) 239-5738
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 15559 Broken Top Ave, Sandy, OR 97055-7823 — (503) 547-9320
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1932639945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRM |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2017 |
| Last updated in NPPES | April 11, 2018 |
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