KEITH C URBAN

MCMINNVILLE, OR
NPI1831223528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADCII 00-00-68)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- KEITH C URBAN
624 N EVANS
MCMINNVILLE, OR 97128
Phone number: 503-434-7523
Mailing Address
-- KEITH C URBAN
624 N EVANS
MCMINNVILLE, OR 97128
Phone number: 503-434-7523
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