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NPI Code Detail

MEDICARE: KRISTILYN HILDA ARNOLD CADC I , CRM II, PSS

MEDICARE: KRISTILYN HILDA ARNOLD CADC I , CRM II, PSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor21-07-10188OR
2175T00000XPeer Specialist107005OR

General Provider Information

NPI Number : 1932876935
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTILYN HILDA ARNOLD CADC I , CRM II, PSS
Provider Business Mailing Address
First Line : 1100 JACKSON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97322-3244
Country : US
Telephone Number : 541-981-8481
Fax Number : 541-250-5178
Provider Business Practice Location Address
First Line : 1100 JACKSON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97322-3244
Country : US
Telephone Number : 541-981-8481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 02/24/2025

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