Individual provider · Type 1 NPI

Alicia N. Keys, LMT #15489

Specialist · Portland, OR

NPI number 1578097218 Active

Practice location

10480 SW Eastridge St Apt 88
Portland, OR 97225-5047

Call (503) 384-9321 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X15489 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1578097218

Alicia N. Keys, LMT #15489's National Provider Identifier is 1578097218, issued on Apr 19, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Apr 19, 2017.