MATTHEW EVAN KELLER (NPI# 1457536641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457536641 |
| Entity Type | Individual |
| Full Name | MATTHEW EVAN KELLER |
| Credential | CADC I APPLICANT |
| Practice Address |
400 Ne 7th St Gresham OR 97030-5604 |
| Mailing Address |
42 Se 57th Ave Portland OR 97215-1221 |
| Practice Telephone | 5032380769 |
| Mailing Telephone | 5037584312 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1962742569 | Matthew Ryan Keller | Counselor | 75 Hwy 62/4 12, Suite J, Ash Flat, AR 72513-9629 | 2013-02-20 |
| 1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
| 1215067210 | Matthew Scott Keller | Specialist/Technologist | 415 Harrisburg Ave, Lancaster, PA 17603-2827 | 2007-03-07 |
| 1356990097 | Matthew Keller | Dentist | 8951 Bonita Beach Rd Se Ste 220, Bonita Springs, FL 34135-4202 | 2019-09-05 |
| 1942760160 | Matthew H Keller | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-22 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1003340480 | Matthew Allen Keller | Counselor | 161 W Victoria St, Long Beach, CA 90805 | 2017-04-12 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1083044556 | Matthew Jacob Keller | Physician Assistant | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2013-11-20 |
| Street Address |
400 NE 7TH ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171323 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 400 Ne 7th St, Gresham, OR 97030-5604 | 2006-06-12 |
| 1235798372 | Timothy Hadden | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2019-06-12 |
| 1356810493 | Simona Vazquez-sartori | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2018-11-19 |
| 1023540283 | Rachel Tolon | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-03-28 |
| 1831638592 | Mackenzie Rae Arrell | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-02-14 |
| 1366989519 | Sharon Simonds | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-01-26 |
| 1265977888 | Ian Z Schroeder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2017-01-05 |
| 1851835326 | Ashley Turley | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-12-18 |
| 1649628645 | Kelly Snyder | Counselor | 400 Ne 7th St, Gresham, OR 97030 | 2016-05-31 |
| 1093160616 | Alyssa Wirthlin | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623602 | Vistas Counseling, LLC | Counselor | 406 Ne 4th St Ste 106, Gresham, OR 97030-7496 | 2018-09-21 |
| 1811476518 | Amanda Gene Evans Mahony | Counselor | 233 Sw Wallula Ave, Gresham, OR 97080-6858 | 2018-08-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1265735088 | Michael Arthur Rhys Pasimio | Counselor | 123 E Powell Blvd Ste 212, Gresham, OR 97030-7622 | 2010-12-16 |
| 1053636001 | Jamie Williams | Counselor | 25050 Se Stark St Ste 300, Gresham, OR 97030-3388 | 2010-04-01 |
| 1487829883 | Annette Pauline Latender | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-04-25 |
| 1447425145 | Mary Bernadette Barney | Counselor | N2150 Kesaehkahtek, Gresham, WI 54128 | 2008-04-24 |
| 1851519128 | Miguel Tellez | Counselor | 775 Ne 9th St, Gresham, OR 97030-5668 | 2007-04-23 |
| 1619095338 | Emelie M Thompson | Counselor | 400 Ne 7th, Gresham, OR 97030 | 2007-03-27 |
| 1326153495 | Daniel Martin Dickinson | Counselor | 1550 Nw Eastman Pkwy Ste 100, Gresham, OR 97030-3830 | 2006-08-20 |
| Find all providers in GRESHAM | ||||
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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.