Individual
KENNETH DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10822 SE 82ND AVE, HAPPY VALLEY, OR 97086-7658
(503) 654-7444
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
02/07/2020
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