Individual
BLAKE KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMTB
Contact information
Practice address
211 STILLPOND ST APT 7, MEDFORD, OR 97501-4641
(541) 646-1434
Mailing address
211 STILLPOND ST APT 7, MEDFORD, OR 97501-4641
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E4148369
OR
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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