Avery Ketchum
Avery Ketchum is a Community Health Worker in Sisters, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
630 N Arrowleaf TrlSisters, OR 97759-2610
Phone: (541) 549-1318
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 105980 (OR) |
|---|
Record details
| NPI number | 1295481596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 24, 2022 |
| Last updated in NPPES | February 24, 2022 |
| Certification date | February 24, 2022 |
| Mailing address | 20086 Sally Ct Unit 2, Bend, OR 97702-3275 |