DR. KEITH A CAMPBELL (NPI# 1104964436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104964436 |
| Entity Type | Individual |
| Full Name | DR. KEITH A CAMPBELL |
| Credential | PHD |
| Practice Address |
1942 Nw Kearney St Ste 24 Portland OR 97209-1465 |
| Practice Telephone | 5032217074 |
| Practice Fax Number | 5036368784 |
| Mailing Telephone | 5032217074 |
| Mailing Fax Number | 5036368784 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
619 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717599 | Keith Campbell | Internal Medicine | 62626 Sparrow Hawk Cir, Bend, OR 97701-6788 | 2009-04-22 |
| 1598899445 | Keith Edward Campbell | Physician Assistant | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2007-03-15 |
| 1245363050 | Keith E Campbell | Dentist | 212 Saybrook Rd, Higganum, CT 06441-4100 | 2007-03-13 |
| 1013074715 | Keith Allan Campbell | Family Medicine | 11221 John Wycliffe Blvd, Orlando, FL 32832-7013 | 2007-01-02 |
| 1518074939 | Keith Sean Campbell | Surgery | 1105 Scenic Dr, Knoxville, TN 37919-7643 | 2006-08-23 |
| 1659331742 | Keith E. Campbell | Surgery | 431 Marilyn Ln, Alcoa, TN 37701-2118 | 2006-03-24 |
| 1538773130 | Keith Campbell | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1073792719 | Keith Mark Campbell | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-30 |
| Street Address |
1942 NW KEARNEY ST STE 24 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336228386 | Mary Lu | Psychiatry & Neurology | 1942 Nw Kearney St Ste 24, Portland, OR 97209-1465 | 2006-11-02 |
| 1609412204 | Mary W. Lu, Md, LLC | Psychiatry & Neurology | 1942 Nw Kearney St Ste 24, Portland, OR 97209-1465 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| Find all providers in PORTLAND | ||||
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| 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.