Individual
MISS LISA KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 ENGLE ST APT 101, ASHLAND, OR 97520-2655
(541) 816-8680
Mailing address
349 ENGLE ST APT 101, ASHLAND, OR 97520-2655
(541) 816-8680
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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