Ketrick Devon Pendergrass is an addiction (substance use disorder) counselor in Coburg, OR. Ketrick Devon Pendergrass NPI is 1992412035. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 SERENITY LN
COBURG, OR
ZIP 97408-350
Phone: (541) 687-1110
The enumeration date for this NPI number is 10/28/2022 and was last updated on 10/28/2022.