KEVIN LEE PETERS

PORTLAND, OR
NPI1043877103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   101YA0400X)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
Mr. KEVIN LEE PETERS CADC1
20 NE 10TH AVE
PORTLAND, OR 97232-2916
Phone number: 503-239-8400
Mailing Address
Mr. KEVIN LEE PETERS CADC1
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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