Ketchum, Avery

Ketchum, Avery is an individual health care provider with primary practice located at 630 N Arrowleaf Trl , Sisters OR 97759-2610. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Ketchum, Avery can be contacted via phone (541) 549-1318.

Contact Information

Primary practice address
630 N Arrowleaf Trl Sisters OR 97759-2610
Phone: (541) 549-1318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 105980 Oregon

Profile Details

NPI number 1295481596
LBN Legal business name Ketchum, Avery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2022
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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