KENNETH CLIFTON PATTERSON THW000104598 NPI 1568034742

NPI Information

NPI: 1568034742
Provider Name: KENNETH CLIFTON PATTERSON, THW000104598
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2555 SILVERTON RD NE
SALEM, OR
ZIP 97301
Phone: (503) 573-7018
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Kenneth Clifton Patterson, THW000104598 is a peer specialist in Salem, OR. The provider is 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. Kenneth Clifton Patterson, THW000104598 NPI is 1568034742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2555 SILVERTON RD NE
SALEM, OR
ZIP 97301-837
Phone: (503) 573-7018

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.

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	175T00000X	Peer Specialist		THW000104598	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	THW000105498	OTHER	OREGON	OHA OFFICE OF EQUITY AND INCLUSION TRADITIONAL HEALTH WORKER

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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