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KORBEN J CHESNUT-PETRY CADC 1
NPI 1841805959
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Active since September 15, 2020
1325 COMMERCIAL ST SE, SALEM, OR 97302(971) 301-9574 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Korben J Chesnut-petry Cadc 1 NPPES

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

KORBEN J CHESNUT-PETRY CADC 1 (NPI 1841805959) is an individual addiction (substance use disorder) provider in Salem, Oregon, licensed in Oregon (18-02-03) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1841805959
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKORBEN J CHESNUT-PETRYCredential: CADC 1
Location Address1325 COMMERCIAL ST SESalem, OR 97302-4205
Mailing Address1160 Liberty St SeSalem, OR 97302-4143 · (503) 391-9762
Phone(971) 301-9574
Sole ProprietorYes
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1841805959 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 · 18-02-03
1325 COMMERCIAL ST SE, Salem, OR 97302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Korben Chesnut-petry's NPI number?

The NPI number for Korben Chesnut-petry is 1841805959. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Korben Chesnut-petry located?

Korben Chesnut-petry practices at 1325 Commercial St SE, Salem, OR 97302. The listed phone number is (971) 301-9574.

What is Korben Chesnut-petry'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 Korben Chesnut-petry was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.