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Mr. Kirk E Kenward
Addiction (Substance Use Disorder) Counselor in Clackamas, Oregon
NPI 1396001186

Kirk E Kenward is an Addiction (Substance Use Disorder) Counselor based in Clackamas, OR and is specialized in Addiction (Substance Use Disorder). Kirk E Kenward practices in Clackamas, OR. The NPI Number for Kirk E Kenward is 1396001186 and holds a License No. (Oregon).

The current practice location address for Kirk E Kenward is 10180 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-571-0884.

Location: 10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396001186
Provider Name
Kirk E Kenward
Credential
Provider Entity Type
Individual
Gender
Male
Address
10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
Phone Number
503-571-0884
Fax Number
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10180 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-8970
Phone Number
503-571-0884
Fax Number
person
Provider Business Mailing Address Details
Address
10180 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-8970
Phone Number
503-571-0884
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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