Kenneth Eric Hedman
Counselor, Addiction (Substance Use Disorder) in Portland, OR. Individual provider (NPI-1).
NPI number1174775845
StatusActive
Last updated in NPPESApr 14, 2009
Details
- NPI
- 1174775845
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Eric Hedman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2008
- Last updated
- Apr 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3034 Ne Martin Luther King Jr BlvdPortland, OR 97212-3053
Phone 503-238-3763
Mailing address
Po Box 8459Portland, OR 97207-8459
Phone 503-238-0769
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