Individual
ANGELA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST. N.E., SUITE 530, SALEM, OR 97301
(503) 390-5637
Mailing address
3000 MARKET ST. N.E., SUITE 530, SALEM, OR 97301
(503) 390-5637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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