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Individual

DR. SCOTT A KETAINECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-2863
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-2863

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
Primary
2373
OR

Other

Enumeration date
10/01/2007
Last updated
08/05/2014
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