Individual
MS. KARI KEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301
(503) 585-4949
Mailing address
4650 SW GRIFFITH DR, BEAVERTON, OR 97005-8719
(503) 684-8159
(503) 598-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-06-87
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
05
—
500608214
—
OR
Enumeration date
03/25/2014
Last updated
08/24/2018
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