KEITH PORTER

JUNCTION CITY, OR
NPI1831812510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
KEITH PORTER
29398 RECOVERY WAY STE 3
JUNCTION CITY, OR 97448-8447
Phone number: 541-998-4574
Mailing Address
KEITH PORTER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170