KELLY EVERETT NPI 1972136638

NPI Information

  • NPI: 1972136638
  • Provider Name: KELLY EVERETT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 8196 SW HALL BLVD STE 230
    BEAVERTON, OR
    ZIP 97008
  • Phone: (541) 638-0830

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NPI Details

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
1101YM0800XCounselorMental HealthNo
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: 11/21/2025

NPI Synchronization or Removal

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