Organization
I. KEITH ORTON, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING KEITH ORTON PHD (PSYCHOLOGIST)
(541) 526-1461
Entity
Organization
Contact information
Practice address
745 NW MT WASHINGTON DR STE 301, BEND, OR 97703-1576
(541) 526-1461
(541) 678-5513
Mailing address
745 NW MT WASHINGTON DR STE 301, BEND, OR 97703-1576
(541) 526-1461
(541) 678-5513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/14/2019
Last updated
12/10/2019
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