Healthcare Provider Details

I. General information

NPI: 1689166811
Provider Name (Legal Business Name): HELENE DANIELLE KUHN MED, MHSIII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 NW PIONEER PL
PENDLETON OR
97801
US

IV. Provider business mailing address

1113 SW GOODWIN LN
PENDLETON OR
97801-2601
US

V. Phone/Fax

Practice location:
  • Phone: 541-966-3784
  • Fax:
Mailing address:
  • Phone: 509-430-2547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: