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

Sean Kelly, CADCI, CRM

Individual provider Peer Specialist · NPI 1821456559

Sean Kelly, CADCI, CRM is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

10564 SE Washington St
Portland, OR 97216
Phone: (971) 806-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20-07-07 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 16-CRM-008 (OR)

Record details

NPI number1821456559
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCI , CRM
Sole proprietorYes
NPI enumeratedFebruary 9, 2016
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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