Individual
KENNETH EDWARD HUGHES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(503) 747-0404
(503) 718-7024
Mailing address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(503) 747-0404
(503) 718-7024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4042
OR
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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