IndividualActive
Shiletha Kennedy
NPI 1780032656 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1780032656
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2600 Se Belmont St
Portland, OR 97214-2916
Phone: (503) 239-5738
Approximate (ZIP-level) locationGet directions
Mailing address
22745 Ne Halsey St Apt 82
Fairview, OR 97024-4607
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2016-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.