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Matthew Ewing Kelm
Peer Specialist in North Bend, Oregon
NPI 1821780180

Matthew Ewing Kelm is a Peer Specialist based in North Bend, OR. Matthew Ewing Kelm practices in North Bend, OR. The NPI Number for Matthew Ewing Kelm is 1821780180 and holds a License No. THW000108871 (Oregon).

The current practice location address for Matthew Ewing Kelm is 1942 Sheridan Ave, North Bend, OR and can be reached out via phone at 458-895-4974.

Location: 1942 Sheridan Ave, North Bend, OR, 97459-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821780180
Provider Name
Matthew Ewing Kelm
Credential
Provider Entity Type
Individual
Gender
Male
Address
1942 Sheridan Ave, North Bend, OR, 97459-3416
Phone Number
458-895-4974
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1942 Sheridan Ave
City
North Bend
State
Oregon
Zip
97459-3416
Phone Number
458-895-4974
Fax Number
person
Provider Business Mailing Address Details
Address
1942 Sheridan Ave
City
North Bend
State
Oregon
Zip
97459-3416
Phone Number
458-895-4974
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000108871 (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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