Lookup NPI Numbers from the NPI Registry
NPI Profile for SEAN KELLY in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Other Service Providers |
175T00000X |
| NPI # | 1821456559 |
|
| Status | Active | |
| Credentials | CADC I, CRM | |
| Entity | Individual | |
| Enumeration date | 02/09/2016 | |
| Last updated | 08/11/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SEAN KELLY
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SEAN KELLY, CADC I, CRM