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Kendall Mellgren
Peer Specialist in Albany, Oregon
NPI 1144739822

Kendall Mellgren is a Peer Specialist based in Albany, OR. Kendall Mellgren practices in Albany, OR. The NPI Number for Kendall Mellgren is 1144739822 and holds a License No. (Oregon).

The current practice location address for Kendall Mellgren is 1305 Hill St Se, Albany, OR and can be reached out via phone at 541-967-6580. You can also correspond with Kendall Mellgren through the mailing address at PO BOX 844, ALBANY, OR - 97321-0305 (mailing address contact number: 541-967-6580).

Location: 1305 Hill St Se, Albany, OR, 97321-0305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144739822
Provider Name
Kendall Mellgren
Credential
Provider Entity Type
Individual
Gender
Female
Address
1305 Hill St Se, Albany, OR, 97321-0305
Phone Number
541-967-6580
Fax Number
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1305 Hill St Se
City
Albany
State
Oregon
Zip
97322-6711
Phone Number
541-967-6580
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Hill St Se
City
Albany
State
Oregon
Zip
97322-6711
Phone Number
541-967-6580
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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