| Charles Keith Sanborn, | |
|
357 Ne Court St, Prineville, OR 97754-1936 | |
| (541) 504-7535 | |
| (541) 504-7535 |
| Full Name | Charles Keith Sanborn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 357 Ne Court St, Prineville, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083279640 | NPI | - | NPPES |
| 500654390 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 500654390 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Keith Sanborn, 357 Ne Court St, Prineville, OR 97754-1936 Ph: (541) 504-7535 | Charles Keith Sanborn, 357 Ne Court St, Prineville, OR 97754-1936 Ph: (541) 504-7535 |
Shelia Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1103 Ne Elm St, Prineville, OR 97754 Phone: 541-323-5330 Fax: 541-447-1121 | |
Mindy Lynn Christiansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Nw Madras Hwy, Prineville, OR 97754 Phone: 541-323-5330 Fax: 541-447-1211 | |
Sierra Hopper, MSN Counselor Medicare: Medicare Enrolled Practice Location: 757 E 1st St, Prineville, OR 97754 Phone: 541-383-3005 Fax: 541-383-1883 | |
Mr. J. Robert Molesworth, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Ne Court St, Prineville, OR 97754 Phone: 541-447-7441 Fax: 541-447-6694 | |
Shana L Schmitz, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Nw Madras Hwy, Prineville, OR 97754 Phone: 541-323-5330 | |
Miss Melissa Williams, LPC, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Ne Court St, Prineville, OR 97754 Phone: 541-447-7441 Fax: 541-447-6694 | |
Heather Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Nw 9th St, Prineville, OR 97754 Phone: 541-388-8459 |