Charles Keith Sanborn
Charles Keith Sanborn is an Addiction (Substance Use Disorder) Counselor in Prineville, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
357 NE Court StPrineville, OR 97754-1936
Phone: (541) 504-7535
Fax: (541) 504-7535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 500654390 (OR) |
|---|
Record details
| NPI number | 1083279640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 8, 2019 |
| Last updated in NPPES | May 8, 2019 |
| Mailing address | 357 Ne Court St, Prineville, OR 97754-1936 |
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Jeff Raaymakers, CACI, AAS
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MS. Katrina L Rodgers, CADCI
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Beverly Rossiter, MS, CACDII
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