MATTHEW EVAN KELLER CADC I APPLICANT NPI 1457536641

NPI Information

NPI: 1457536641
Provider Name: MATTHEW EVAN KELLER, CADC I APPLICANT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
400 NE 7TH ST
GRESHAM, OR
ZIP 97030
Phone: (503) 238-0769
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Matthew Evan Keller, CADC I APPLICANT is an addiction (substance use disorder) counselor in Gresham, OR. Matthew Evan Keller, CADC I APPLICANT NPI is 1457536641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 NE 7TH ST
GRESHAM, OR
ZIP 97030-604
Phone: (503) 238-0769

The enumeration date for this NPI number is 1/7/2008 and was last updated on 3/5/2008.

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	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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