KENNYON PETERKIN

PORTLAND, OR
NPI1932639945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-06-13
Last Update Date2018-04-11
Business Address
KENNYON PETERKIN CRM
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
KENNYON PETERKIN CRM
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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