KELLY EVERETT NPI 1972136638

NPI Information

NPI: 1972136638
Provider Name: KELLY EVERETT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8196 SW HALL BLVD STE 230
BEAVERTON, OR
ZIP 97008
Phone: (541) 638-0830
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Kelly Everett is an addiction (substance use disorder) counselor in Beaverton, OR. Kelly Everett NPI is 1972136638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8196 SW HALL BLVD STE 230
BEAVERTON, OR
ZIP 97008-401
Phone: (541) 638-0830
Fax: (503) 641-5179

The enumeration date for this NPI number is 2/20/2020 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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