KEITH CROWNER


Address: 8428 N Bliss St, Portland, OR 97203-1177
Phone: 4434533010

KEITH CROWNER (NPI# 1336641190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336641190
Entity Type Individual
Full Name KEITH CROWNER
Other Name HERU-KA ANU
Practice Address 8428 N Bliss St
Portland
OR 97203-1177
Practice Telephone 4434533010
Mailing Telephone 4434533010
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
N 172V00000X Community Health Worker Other Service Providers
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 8428 N BLISS ST
City PORTLAND
State OR
Zip Code 97203-1177

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578029559 Frances Lewis Peer Specialist 8428 N Bliss St, Portland, OR 97203-1177 2019-02-14
1336641182 Ankh Holistic Life Center Peer Specialist 8428 N Bliss St, Portland, OR 97203-1177 2018-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952923757 Justin Cummings Meals 10105 N. Oswego Ave, Portland, OR 97203 2020-05-14
1407335045 Gage Solis Student in an Organized Health Care Education/Training Program 8425 N. Lombard St, Portland, OR 97203 2018-08-13
1497103493 Ruby Diane Ciarlante Community Health Worker 7803 N Portsmouth Ave, Portland, OR 97203 2016-05-31
1992139620 Hannah Clare Speech-Language Pathologist 7126 N Amherst St, Portland, OR 97203 2013-08-29
1043656713 Heather Ranae Mcintosh Social Worker 7323 N Burlington Ave, Portland, OR 97203 2013-05-21
1275879363 Matthew Scott Bennett Pharmacist 6850 N. Lombard, Portland, OR 97203 2012-12-18
1144594094 Candice Juliet Thomas Pharmacist 9000 N. Lombard St, Portland, OR 97203 2012-02-23
1093013211 Aarisa Elysianne Smith Mechanotherapist 8438 N Lombard St, Ste 7, Portland, OR 97203 2011-03-11
1700103546 Lisa Catherine Davis Acupuncturist 1614 Ne Alberta Street, Portland, OR 97203 2010-05-03
1427298579 Donald Marvin Lorenzen Denturist 8530 N. Ivanhoe, Portland, OR 97203 2009-03-03
Find all providers in zip 97203

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1245896307 Anthony James Hardy Peer Specialist 10336 Ne Wygant St, Portland, OR 97220-3368 2019-05-14
1881155596 Laray Jermaine Thomas Peer Specialist 11509 Se Stephens St, Portland, OR 97216-3660 2019-03-26
1932684248 Dorothy Joanna Burton Peer Specialist 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 2018-10-02
1750886255 Steven Wade Peer Specialist 4512 Ne Portland Hwy, Portland, OR 97218-1363 2018-03-27
1669991212 Kimberly Jaye Randall Peer Specialist 17214 Se Division St Ste 2, Portland, OR 97236-1282 2017-09-14
1689103897 Walter Bulter Peer Specialist 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 2017-06-09
1306373543 Brenda Kay Mitchell Peer Specialist 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 2017-05-18
1760914493 Changing Perceptions Peer Specialist 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 2017-03-31
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97203

Improve Information

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Dataset Information

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.

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