Individual
EMILY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 82ND DR, GLADSTONE, OR 97027-1803
(503) 272-8031
Mailing address
4606 SE 49TH AVE, PORTLAND, OR 97206-4904
(541) 490-4379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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