IndividualActive
Kenneth Maben
NPI 1780046607 · Peer Specialist · Salem, OR
Provider details
- NPI number
- 1780046607
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1599 State St
Salem, OR 97301-4255
Phone: (503) 363-3260
Fax: (503) 585-0491
Approximate (ZIP-level) locationGet directions
Mailing address
1599 State St
Salem, OR 97301-4255
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2016-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.