SAMUEL RAY KELLER

ROSEBURG, OR
NPI1437955689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
Mr. SAMUEL RAY KELLER Peer Support
1939 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3573
Phone number: 541-957-5646
Mailing Address
Mr. SAMUEL RAY KELLER Peer Support
964 SE TERRACE DR
ROSEBURG, OR 97470-4330
Phone number: 909-533-9377