Individual provider · Type 1 NPI

Kaylen Annmarie Scott, PWS, CRM

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1154078442 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22-CRM-1000 (OR)

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

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About NPI 1154078442

Kaylen Annmarie Scott, PWS, CRM's National Provider Identifier is 1154078442, issued on Mar 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jul 17, 2025.