Individual provider · Type 1 NPI

Matthew Evan Keller, CADC I APPLICANT

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1457536641 Active

Practice location

400 NE 7th St
Gresham, OR 97030-5604

Call (503) 238-0769 Map

Mailing address

42 SE 57th Ave
Portland, OR 97215-1221

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

64 other providers at this address

Other addiction (substance use disorder) counselor providers in Gresham

See all in Gresham →

About NPI 1457536641

Matthew Evan Keller, CADC I APPLICANT's National Provider Identifier is 1457536641, issued on Jan 7, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Mar 5, 2008.