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

Mr. Keith D Johnson, MAED

Individual provider Pastoral Counselor · NPI 1417210675

Mr. Keith D Johnson, MAED is a Pastoral Counselor in Portland, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 445-0436
Show map & directions

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

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X

Record details

NPI number1417210675
Entity typeIndividual (Type 1)
GenderMale
Credentials MAED
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

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