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
- City
- Prineville
- 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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