FEN THOMAS KACIN PWS NPI 1609671593

NPI Information

  • NPI: 1609671593
  • Provider Name: FEN THOMAS KACIN, PWS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2410 SE 10TH AVE
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 383-9643

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NPI Details

Fen Thomas Kacin, PWS is a peer specialist in Portland, 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. Fen Thomas Kacin, PWS NPI is 1609671593. 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:

2410 SE 10TH AVE
PORTLAND, OR
ZIP 97214-624
Phone: (503) 383-9643
Fax: (503) 214-5545

The enumeration date for this NPI number is 2/15/2025 and was last updated on 2/15/2025.

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 Specialist113107OREGONYes

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

NPI Synchronization or Removal

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