Individual
CAITLIN REEVES KEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAPOF
Contact information
Practice address
2049 NW HOYT ST, PORTLAND, OR 97209-1260
(503) 321-5217
Mailing address
1580 NE 32ND AVE APT 417, PORTLAND, OR 97232-3555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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