Individual provider · Type 1 NPI

Kennedy Horn

Peer Specialist · North Bend, OR

NPI number 1699629642 Active

Practice location

400 Virginia Ave
North Bend, OR 97459-3477

Call (541) 751-0357 Map

Fax (541) 751-9985

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

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 1699629642

Kennedy Horn's National Provider Identifier is 1699629642, issued on Feb 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in North Bend, OR. The record was last updated on Feb 25, 2026.