KORBEN J CHESNUT-PETRY


Address: 1325 Commercial St Se, Salem, OR 97302-4205
Phone: 9713019574

KORBEN J CHESNUT-PETRY (NPI# 1841805959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841805959
Entity Type Individual
Full Name KORBEN J CHESNUT-PETRY
Credential CADC 1
Practice Address 1325 Commercial St Se
Salem
OR 97302-4205
Mailing Address 1160 Liberty St Se
Salem
OR 97302-4143
Practice Telephone 9713019574
Mailing Telephone 5033919762
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
18-02-03 OR Behavioral Health & Social Service Providers

Office Location

Street Address 1325 COMMERCIAL ST SE
City SALEM
State OR
Zip Code 97302-4205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659978880 Deirdre Jean Miller Counselor 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 2020-10-01
1134736168 Melissa Thi Lu Counselor 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 2020-09-24
1598383846 Jorge Montejano Counselor 223 Commercial St Ne, Salem, OR 97301-3411 2020-07-13
1154956837 Bobbie J Dawson Counselor 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 2020-03-03
1902457773 Jorge Arredondo Counselor 16 Heritage Dr Apt 15, Salem, MA 01970-2034 2019-09-24
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659866911 Chakra LLC Counselor 161 High St Se Ste 209, Salem, OR 97301-3693 2018-06-28
1346731114 Robert Bathke Counselor 525 Ferry St Se Ste 203, Salem, OR 97301-3743 2018-05-28
1316453186 Melody Sue Nova Counselor 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 2017-12-15
1003325200 Ted Woodruff Counselor 3325 Harold Drive, Salem, OR 97305-9730 2017-09-20
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Competitor

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City SALEM
Zip Code 97302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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