Jack Keenan
Jack Keenan is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
3530 SE 136th Ave Apt 5Portland, OR 97236-2958
Phone: (503) 719-4535
Fax: (503) 719-4537
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1649641812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 14, 2015 |
| Last updated in NPPES | February 18, 2016 |
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