Individual
BRINNA KEILLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 640-3031
(541) 550-1495
Mailing address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 640-3031
(541) 550-1495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YS0200X
School Counselor
516897
OR
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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