MS. VICTORIA LYNN KEYTON NP NPI 1124008461

NPI Information

NPI: 1124008461
Provider Name: MS. VICTORIA LYNN KEYTON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: VITA POST ACUTE MEDICAL, PLLC

PECOS Registration: Yes

Address:
4510 SW HALL BLVD
BEAVERTON, OR
ZIP 97005
Phone: (503) 644-1171
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MS. Victoria Lynn Keyton, NP is an adult health nurse practitioner in Beaverton, OR with 19 years of experience. MS. Victoria Lynn Keyton, NP NPI is 1124008461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

4510 SW HALL BLVD
BEAVERTON, OR
ZIP 97005
Phone: (503) 644-1171
Fax: (503) 643-7443

The NPI 1124008461 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 7/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	200550100NP	OREGON	No
2	363LA2200X	Nurse Practitioner	Adult Health	200550100NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A0705150	OTHER		BOARD CERTIFYING ORGANIZATION: AANP
2	200550100NP	OTHER	OREGON	NP STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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