Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keaton Randolph

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245176403

Keaton Randolph is an Addiction (Substance Use Disorder) Counselor in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

10600 SE McLoughlin Blvd Ste 207
Milwaukie, OR 97222-7428
Phone: (855) 770-0577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-25-5233 (OR)

Record details

NPI number1245176403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address10600 Se McLoughlin Blvd Ste 207, Milwaukie, OR 97222-7428

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