Individual
MR. TIMOTHY RAY KEENER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
5050 COLUMBUS ST SE, SPC# 29, ALBANY, OR 97322-7108
(541) 926-8162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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