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

Larry Kennedy, CRM

Individual provider Peer Specialist · NPI 1205694296

Larry Kennedy, CRM is a Peer Specialist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

389 SW Scalehouse Ct Ste 130
Bend, OR 97702-3241
Phone: (541) 306-4446
Fax: (541) 550-2011
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-CRM-2944 (OR)

Record details

NPI number1205694296
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

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