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

Nash William Keene, STUDENT

Individual provider Medical Physician Assistant · NPI 1912308404

Nash William Keene, STUDENT is a Physician Assistant in Salem, Oregon. Qualified in 2015, 11 years ago. Practices with Pain Care Specialists of Oregon, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2014
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Practice location Address checks out

2480 Liberty St NE Ste 180
Salem, OR 97301-8380
Phone: (503) 371-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA174358 (OR)

Record details

NPI number1912308404
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address2480 Liberty St Ne, Salem, OR 97301-8380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pain Care Specialists Of Oregon, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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