person
Mr. Kirk Fenton
Mental Health Counselor in Portland, Oregon
NPI 1013292036

Kirk Fenton is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kirk Fenton practices in Portland, OR. The NPI Number for Kirk Fenton is 1013292036 and holds a License No. (Oregon).

The current practice location address for Kirk Fenton is 1904 Se Division St, Portland, OR and can be reached out via phone at 503-517-8663 and via fax at 503-943-4994.

Location: 1904 Se Division St, Portland, OR, 97202-1146
person
Provider Profile Details
NPI Number
1013292036
Provider Name
Kirk Fenton
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 Se Division St, Portland, OR, 97202-1146
Phone Number
503-517-8663
Fax Number
503-943-4994
Provider Enumeration Date
10/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166957492 01 NV PIONEER HEALTH RESOURCES, INC.
institution
Provider Business Practice Location Address Details
Address
1904 Se Division St
City
State
Zip
97202-1146
Phone Number
503-517-8663
Fax Number
503-943-4994
person
Provider Business Mailing Address Details
Address
1904 Se Division St
City
State
Zip
97202-1146
Phone Number
503-517-8663
Fax Number
503-943-4994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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