Individual
MR. KENNETH HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
7300 SW GARDEN HOME RD, APT 4, PORTLAND, OR 97223-7615
(503) 899-3843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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