Individual provider · Type 1 NPI

Charles Keith Sanborn

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1083279640 Active

Practice location

357 NE Court St
Prineville, OR 97754-1936

Call (541) 504-7535 Map

Fax (541) 504-7535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X500654390 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083279640

Charles Keith Sanborn's National Provider Identifier is 1083279640, issued on May 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on May 8, 2019.