Kenneth Carpenter

NPI #1548795487 in Ontario, Oregon

Provider Information

NPI Number: 1548795487
Entity Type: Individual
Name: Kenneth Carpenter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 390 NE 2ND ST
City: Ontario
State: Oregon
ZIP Code: 97914-2513
Phone: (541) 889-9167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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