NPI 1063286300

Kevin Olds, CRM

Practitioner Peer Specialist Hillsboro, OR

Practice location

Address: 3459 SE Pepperwood Way, Hillsboro, OR 97123-8664
Phone: (503) 998-6040
Mailing address: PO Box 4266, Hillsboro, OR 97123-1957

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 110343 (OR)

Other Peer Specialist providers in Oregon →

Registry record

NPI: 1063286300
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2023
Record last updated: 23 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.