MS. TERESA CATHERINE KEANE RN MSN PMHNP NPI 1124017553

NPI Information

NPI: 1124017553
Provider Name: MS. TERESA CATHERINE KEANE, RN, MSN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3325 N INTERSATE AVE
KAISER PERMANENTE
PORTLAND, OR
ZIP 97227
Phone: (503) 331-6131
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MS. Teresa Catherine Keane, RN, MSN, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. MS. Teresa Catherine Keane, RN, MSN, PMHNP NPI is 1124017553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3325 N INTERSATE AVE
KAISER PERMANENTE
PORTLAND, OR
ZIP 97227-099
Phone: (503) 331-6131

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/11/2007.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	090006025N6	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	101310	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PMHNP
2	076666	OTHER	OREGON	PMHNP
3	S42053	MEDICARE UPIN	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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