1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Peer Specialist
  6. NPI Profile

KENNETH SUNDRUD
NPI 1366957193
Peer Specialist in Salem, OR

Active since December 01, 2017
1599 STATE ST, SALEM, OR 97301(503) 363-3260(503) 363-3260 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Sundrud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SUNDRUD (NPI 1366957193) is an individual peer specialist in Salem, Oregon and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1366957193
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH SUNDRUD
Location Address1599 STATE STSalem, OR 97301-4255
Mailing Address1599 State StSalem, OR 97301-4255 · (503) 363-3260
Phone(503) 363-3260
Fax(503) 363-3260
Sole ProprietorYes
Enumeration DateDecember 1, 2017
✔ NPI 1366957193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1599 STATE ST, Salem, OR 97301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNDA RAYLENE CONLEY
Counselor (Addiction (Substance Use Disorder))
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
DARLA SERENE-HEINECK
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
NORMA YOAS
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
LUCAS MCMELLON
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
DEBORAH GOOD
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
GERI SHOCKLEY
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
CHRISTL PLUM
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260
ANGEL HARNESS
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Marion County (503) 363-3260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Sundrud's NPI number?

The NPI number for Kenneth Sundrud is 1366957193. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Kenneth Sundrud located?

Kenneth Sundrud practices at 1599 State St, Salem, OR 97301. The listed phone number is (503) 363-3260.

What is Kenneth Sundrud's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Sundrud was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.