KENNETH BOGGIE CADC I
NPI 1689114175
Counselor - Addiction (Substance Use Disorder) in Coburg, OR

Q: What is Kenneth Boggie's NPI number?

The NPI number for Kenneth Boggie is 1689114175. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Q: What is Kenneth Boggie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Boggie was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 02, 2017

1 SERENITY LANE, COBURG, OR 97408(541) 284-5695 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth Boggie Cadc I NPPES

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

KENNETH BOGGIE CADC I (NPI 1689114175) is an individual addiction (substance use disorder) provider in Coburg, Oregon, licensed in Oregon (161102) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1689114175

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENNETH BOGGIECredential: CADC I

Location Address1 SERENITY LANECoburg, OR 97408

Mailing AddressPo Box 8549Coburg, OR 97408-1313 · (541) 284-5695

Phone(541) 284-5695

Sole ProprietorNo

Enumeration DateMarch 2, 2017

✔ NPI 1689114175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 161102

1 SERENITY LANE, Coburg, OR 97408

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Other Providers at the Same Location NPPES 2

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

SERENITY LANE

Substance Abuse Rehabilitation Facility

1 SERENITY LANE
COBURG, OR 97408

Lane County (541) 284-8605

DOUGLAS SMITH

Counselor (Addiction (Substance Use Disorder))

1 SERENITY LANE
COBURG, OR 97408

Lane County (541) 284-5682

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 Boggie's NPI number?

The NPI number for Kenneth Boggie is 1689114175. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Kenneth Boggie located?

Kenneth Boggie practices at 1 Serenity Lane, Coburg, OR 97408. The listed phone number is (541) 284-5695.

What is Kenneth Boggie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Boggie was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.