MICHELLE LYNN KERRON NPI 1063299980

NPI Information

  • NPI: 1063299980
  • Provider Name: MICHELLE LYNN KERRON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 12360 SE SUNNYSIDE RD
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 303-4000

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NPI Details

Michelle Lynn Kerron is an addiction (substance use disorder) counselor in Clackamas, OR. Michelle Lynn Kerron NPI is 1063299980. 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:

12360 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-320
Phone: (503) 303-4000
Fax: (503) 344-4412

The enumeration date for this NPI number is 9/13/2023 and was last updated on 6/21/2024.

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
1175T00000XPeer SpecialistNo
2101YA0400XCounselorAddiction (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: 3/30/2025

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