Individual provider · Type 1 NPI

Kevin Michael Treadwell

Student in an Organized Health Care Education/Training Program · Lebanon, OR

NPI number 1679466338 Active

Practice location

200 Mullins Dr
Lebanon, OR 97355-3983

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679466338

Kevin Michael Treadwell's National Provider Identifier is 1679466338, issued on Jun 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, OR. The record was last updated on Jun 5, 2025.