Individual
DR. STORMIE KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
(541) 900-4285
(888) 810-2993
Mailing address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
(541) 900-4285
(888) 810-2993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60866106
WA
101YM0800X
Mental Health Counselor
LH60866106
WA
103T00000X
Psychologist
Primary
3364
OR
Other
Enumeration date
09/06/2013
Last updated
05/19/2021
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