IndividualActive
Matthew Kelm
NPI 1821780180 · Peer Specialist · North Bend, OR
Provider details
- NPI number
- 1821780180
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- THW000108871 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
1942 Sheridan Ave
North Bend, OR 97459-3416
Phone: (458) 895-4974
Approximate (ZIP-level) locationGet directions
Mailing address
1942 Sheridan Ave
North Bend, OR 97459-3416
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.