Provider Demographics
NPI:1578611018
Name:KUHN, PEGGY MARIE (QMHA)
Entity Type:Individual
Prefix:MISS
First Name:PEGGY
Middle Name:MARIE
Last Name:KUHN
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5619 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-2227
Mailing Address - Country:US
Mailing Address - Phone:971-322-7392
Mailing Address - Fax:
Practice Address - Street 1:2908 NE KILLINGSWORTH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-6812
Practice Address - Country:US
Practice Address - Phone:503-287-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator