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1982953642
KALEB KEATON
PORTLAND, OR
NPI
1982953642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-10
Last Update Date
2017-01-09
Business Address
-- KALEB KEATON
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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Mailing Address
-- KALEB KEATON
15175 SW WALKER RD
BEAVERTON, OR 97006-4382
Phone number:
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