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Kenneth Clifton Patterson, THW000104598
Peer Specialist in Salem, Oregon
NPI 1568034742

Kenneth Clifton Patterson is a Peer Specialist based in Salem, OR. Kenneth Clifton Patterson practices in Salem, OR and has the professional credentials of THW000104598. The NPI Number for Kenneth Clifton Patterson is 1568034742 and holds a License No. THW000104598 (Oregon).

The current practice location address for Kenneth Clifton Patterson is 2555 Silverton Rd Ne, Salem, OR and can be reached out via phone at 503-573-7018.

Location: 2555 Silverton Rd Ne, Salem, OR, 97301-0837
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Provider Profile Details
NPI Number
1568034742
Provider Name
Kenneth Clifton Patterson
Credential
THW000104598
Provider Entity Type
Individual
Gender
Male
Address
2555 Silverton Rd Ne, Salem, OR, 97301-0837
Phone Number
503-573-7018
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000105498 01 OR OHA OFFICE OF EQUITY AND INCLUSION TRADITIONAL HEALTH WORKER
institution
Provider Business Practice Location Address Details
Address
2555 Silverton Rd Ne
City
State
Zip
97301-0837
Phone Number
503-573-7018
Fax Number
person
Provider Business Mailing Address Details
Address
2555 Silverton Rd Ne
City
State
Zip
97301-0837
Phone Number
503-573-7018
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW000104598 (Oregon)
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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