Individual
KEATON CHAMORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 NW SHEVLIN PARK RD, BEND, OR 97703-7101
(541) 706-3836
Mailing address
2165 NW SHEVLIN PARK RD, BEND, OR 97703-7101
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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