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Individual

MICHELLE LYNN KERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12360 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 303-4000
(503) 344-4412
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
09/13/2023
Last updated
06/21/2024
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