Individual
JUSTIN KERRY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 VINE AVE, KLAMATH FALLS, OR 97601-3362
(530) 405-7237
Mailing address
6914 REDSTART RD, KLAMATH FALLS, OR 97601-9244
(530) 405-7237
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112924
OR
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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