Individual
MARITA ELIZABETH KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8383 NE SANDY BLVD, SUITE #205, PORTLAND, OR 97220-4948
(503) 253-0964
(503) 293-7659
Mailing address
8383 NE SANDY BLVD, SUITE #205, PORTLAND, OR 97220-4948
(503) 253-0964
(503) 293-7659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1563
OR
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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