Search › Oregon › 172V00000X
Avery Ketchum
NPI 1295481596 · on the registry since 2022
Practice
- Address
- 630 N Arrowleaf Trl
Sisters, OR 97759 - Phone
- (541) 549-1318
- Organisation at this address
- St. Charles Health System, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon