Individual provider · Type 1 NPI

Kenneth Sundrud

Peer Specialist · Salem, OR

NPI number 1366957193 Active

Practice location

1599 State St
Salem, OR 97301-4255

Call (503) 363-3260 Map

Fax (503) 363-3260

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1366957193

Kenneth Sundrud's National Provider Identifier is 1366957193, issued on Dec 1, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Dec 1, 2017.