DR. KEITH IAN LINN (NPI# 1033401674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033401674 |
| Entity Type | Individual |
| Full Name | DR. KEITH IAN LINN |
| Credential | PSY.D. |
| Practice Address |
2525 Nw Lovejoy Ste. 401 Portland OR 97210-2865 |
| Practice Telephone | 5032276568 |
| Practice Fax Number | 5022275796 |
| Mailing Telephone | 5032225212 |
| Mailing Fax Number | 5022275796 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
1504 | OR | Behavioral Health & Social Service Providers |
| Street Address |
2525 NW LOVEJOY STE. 401 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899390 | Florence Namuhoranye | Psychologist | 61 Deering St Apt H, Portland, ME 04101-2263 | 2019-09-11 |
| 1194738013 | Julie A Shafer | Psychologist | 4039 N Mississippi Ave, Suite 309, Portland, OR 97227-1476 | 2006-08-14 |
| 1013342740 | Kelly Ann Flood | Psychologist | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2013-09-12 |
| 1902061526 | Emily E York | Psychologist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2008-07-23 |
| 1831316835 | Ken J. Brinker | Psychologist | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2007-04-19 |
| 1336211275 | John A Turner | Psychologist | 3710 Us Veterans Hospital Road, Va Medical Center, Portland, OR 97202-9823 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962953554 | Shari Lynne Malago | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-10-18 |
| 1942681770 | Constance Newton | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-17 |
| 1588045413 | Kimberly Madden | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-16 |
| 1043587041 | Veronica C Johnstone | Psychologist | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2011-11-19 |
| 1811293384 | Jackson County Mental Health | Psychologist | 1005 E Main St, Medford, OR 97504-7448 | 2011-02-01 |
| 1942501705 | Nicole Marie-poupeney Miller | Psychologist | 8495 Crater Lake Hwy, Bldg. 240 Rm 109 -mail Stop 116, White City, OR 97503 | 2010-11-10 |
Please comment or provide details below to improve the information on DR. KEITH IAN LINN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.