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

FEN THOMAS KACIN PWS
NPI 1609671593
Peer Specialist in Portland, OR

Active since February 15, 2025
2410 SE 10TH AVE, PORTLAND, OR 97214(503) 383-9643(503) 214-5545 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fen Thomas Kacin Pws NPPES

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

FEN THOMAS KACIN PWS (NPI 1609671593) is an individual peer specialist in Portland, Oregon, licensed in Oregon (113107) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1609671593
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameFEN THOMAS KACINCredential: PWS
Location Address2410 SE 10TH AVEPortland, OR 97214-4624
Mailing Address2410 Se 10th AvePortland, OR 97214-4624 · (503) 383-9643 · Fax (503) 214-5545
Phone(503) 383-9643
Fax(503) 214-5545
Sole ProprietorNo
Enumeration DateFebruary 15, 2025
NPPES CertifiedFebruary 15, 2025
✔ NPI 1609671593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 113107
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.
2410 SE 10TH AVE, Portland, OR 97214
Open in Google Maps ↗

Other Names 1

Former Name (1)Cassandra Sophia Clark

Other Providers at the Same Location NPPES 12

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

THE HELPING HAND PDX LLC
Occupational Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (971) 340-8391
LYNDSAY CONKLIN
Peer Specialist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (971) 260-9705
MICHELLA ONNIS LMT
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (503) 680-4531
DAVID ROSAS LMT
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (503) 217-4457
NAUTILUS TORELLO
Peer Specialist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (971) 260-9705
LYNDSEY CHRISTINE TRAPP LMT
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (971) 279-4454
RYAN SOLAIRE
Counselor (Mental Health)
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (503) 383-9643
JANELLE ROXANNE PIERSON
Massage Therapist
2410 SE 10TH AVE
PORTLAND, OR 97214
Multnomah County (503) 303-8689

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 Fen Kacin's NPI number?

The NPI number for Fen Kacin is 1609671593. It was assigned to this individual provider in the NPPES registry on February 15, 2025. The provider is also known as Cassandra Sophia Clark.

Where is Fen Kacin located?

Fen Kacin practices at 2410 SE 10th Ave, Portland, OR 97214. The listed phone number is (503) 383-9643.

What is Fen Kacin'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 Fen Kacin was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.