Individual provider · Type 1 NPI

Fen Thomas Kacin, PWS

Peer Specialist · Portland, OR

NPI number 1609671593 Active

Practice location

2410 SE 10th Ave
Portland, OR 97214-4624

Call (503) 383-9643 Map

Fax (503) 214-5545

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X113107 (OR)

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 1609671593

Fen Thomas Kacin, PWS's National Provider Identifier is 1609671593, issued on Feb 15, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Feb 15, 2025.