Individual provider · Type 1 NPI

Keith Denick

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1609753573 Active

Practice location

1219 SE Lafayette St
Portland, OR 97202-3802

Call (503) 765-5733 Map

Mailing address

8143 SE 75th Pl
Portland, OR 97206-8623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609753573

Keith Denick's National Provider Identifier is 1609753573, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 20, 2025.