Individual provider · Type 1 NPI

Kevin Lee Peters, CADC1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1043877103 Active

Practice location

20 NE 10th Ave
Portland, OR 97232-2916

Call (503) 239-8400 Map

Fax (503) 239-8407

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X

Addiction (Substance Use Disorder) Counselor: Definition to come...

Another provider at this address

Other addiction (substance use disorder) counselor providers in Portland

See all in Portland →

About NPI 1043877103

Kevin Lee Peters, CADC1's National Provider Identifier is 1043877103, issued on May 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on May 23, 2019.