Individual provider · Type 1 NPI

Kaleb Keaton

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1982953642 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Call (503) 239-8400 Map

Mailing address

15175 SW Walker Rd
Beaverton, OR 97006-4382

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1982953642

Kaleb Keaton's National Provider Identifier is 1982953642, issued on Sep 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2017.