Anderson, John Kenneth

Anderson, John Kenneth is an individual health care provider with primary practice located at 421 Sw Oak St Ste 520 , Portland OR 97204-1810. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Anderson, John Kenneth can be contacted via phone (503) 680-7360.

Contact Information

Primary practice address
421 Sw Oak St Ste 520 Portland OR 97204-1810
Phone: (503) 680-7360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801082185
LBN Legal business name Anderson, John Kenneth
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Feb 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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