Matthew Ewing Kelm

Peer Specialist · North Bend, OR

Individual Active NPI

NPI number 1821780180

Practice location

1942 Sheridan Ave
North Bend, OR 97459-3416
Phone
(458) 895-4974

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NPI record

NPI
1821780180
Entity type
Individual (Type 1)
Enumeration date
May 24, 2023
Last updated
May 24, 2023
Certified
May 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X THW000108871 OR

About Matthew Kelm

Matthew Ewing Kelm is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1942 Sheridan Ave, North Bend, OR 97459-3416. The NPI number 1821780180 was assigned on May 24, 2023 and the record was last updated on May 24, 2023.

Matthew Kelm lists a license in the registry: #THW000108871 (OR) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Ewing Kelm?

The NPI number is 1821780180.

What is the phone number of Matthew Kelm?

The phone number listed for the practice location is (458) 895-4974.

Where is Matthew Kelm located?

1942 Sheridan Ave, North Bend, OR 97459-3416.

What is the taxonomy code for Matthew Kelm?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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