Individual
KC KAY SHURBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9541 SW INEZ ST, TIGARD, OR 97224-5885
(719) 207-0881
Mailing address
9541 SW INEZ ST, TIGARD, OR 97224-5885
(719) 207-0881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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