Avery Ketchum

NPI #1295481596 in Sisters, Oregon

Provider Information

NPI Number
1295481596
Entity Type
Individual
Name
Avery Ketchum
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Feb 24, 2022
Last Updated
Feb 24, 2022

Practice Location

Address
630 N ARROWLEAF TRL
State
Oregon
ZIP Code
97759-2610
Phone
(541) 549-1318

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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