Individual
MISS RHIANNON MARIE KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 NW GARDEN VALLEY BLVD STE 104, ROSEBURG, OR 97471-2098
(541) 378-4104
Mailing address
180 DOVETAIL LN, SUTHERLIN, OR 97479-9455
(541) 430-4888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
B177558
OR
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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