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

Nathan Kennelly, CRM, CADCR

Individual provider Peer Specialist · NPI 1871304279

Nathan Kennelly, CRM, CADCR is a Peer Specialist in Gresham, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone: (503) 740-6449
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1871304279
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM , CADCR
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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