Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK KEENAN
ActiveJACK KEENAN is a Mental Health Counselor healthcare provider located in PORTLAND, Oregon. NPI 1649641812 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PORTLAND, OR
Registration Details
- NPI Number
- 1649641812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2015 (10.843435721805 yrs)
- Last Updated
- Feb 18, 2016
Practice Information
- Address
-
3530 SE 136TH AVE APT 5PORTLAND, OR, 972362958Browse OR providers · Browse ZIP 97236
- Phone
- 5037194535
- Fax
- 5037194537
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. DIANNE E. LEROY | M.S., L.P.C. | 1649261595 |
| MRS. CAROL JEAN MORAIS | MA LPC CADC III | 1811971096 |
| MRS. JONNIE MCRAE VANDERZANDEN | LPC | 1437133584 |
| KAY A MYERS | MA, LPC | 1932160926 |
| MS. WENDY L. BAUMAN | LPC, CADCI | 1356309868 |
| MS. KAREN ELLEN GRUETTER | LPC LMFT CADC III | 1134187503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.