| Erin Keller Lcsw | |
|
325 A St Ste 3 Ashland OR 97520-1970 | |
| (541) 324-2690 | |
| Not Available |
| Full Name | Erin Keller Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 A St Ste 3, Ashland, Oregon |
| Authorized Official Name and Position | Melynda Owens (BILLING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 4155008655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Keller Lcsw Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Erin Keller Lcsw 325 A St Ste 3 Ashland OR 97520-1970 Ph: (541) 324-2690 |
| NPI Number | 1144788779 |
|---|---|
| Provider Enumeration Date | 03/02/2019 |
| Last Update Date | 06/06/2020 |
| Certification Date | 06/06/2020 |
| Medicare PECOS PAC ID | 1153745765 |
|---|---|
| Medicare Enrollment ID | O20200715002658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144788779 | NPI | - | NPPES |
| Provider Name | Erin Louise Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023386760 PECOS PAC ID: 2466885850 Enrollment ID: I20191125001549 |
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