Charles Keith Sanborn

NPI #1083279640 in Prineville, Oregon

Provider Information

NPI Number
1083279640
Entity Type
Individual
Name
Charles Keith Sanborn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 8, 2019
Last Updated
May 8, 2019

Practice Location

Address
357 NE COURT ST
State
Oregon
ZIP Code
97754-1936
Phone
(541) 504-7535

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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