Individual provider · Type 1 NPI

Keaton Randolph

Addiction (Substance Use Disorder) Counselor · Milwaukie, OR

NPI number 1245176403 Active

Practice location

10600 SE Mcloughlin Blvd Ste 207
Milwaukie, OR 97222-7428

Call (855) 770-0577 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-5233 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245176403

Keaton Randolph's National Provider Identifier is 1245176403, issued on Apr 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukie, OR. The record was last updated on Apr 28, 2026.