Individual
KENNETH MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
969 CEDAR ST, PENDLETON, OR 97801-6079
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
117605
OR
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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