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Individual

AMY LORAINE KEELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL ASSISTANT

Contact information

Practice address
11719 NE 95TH ST, VANCOUVER, WA 98682-2444
(360) 397-8246
Mailing address
900 SE PARK CREST AVE APT A7, VANCOUVER, WA 98683-8371
(360) 606-4163

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363AM0700X
WA
Enumeration date
08/19/2021
Last updated
03/22/2023
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