Individual provider · Type 1 NPI

Kelly Ann Span, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1295444917 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Call (503) 239-5738 Map

Fax (503) 963-9026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23-R-18 (OR)

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

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About NPI 1295444917

Kelly Ann Span, CADC I's National Provider Identifier is 1295444917, issued on Nov 21, 2022. 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 Jul 17, 2023.