Keith Crowner, is a
Peer Specialist based in Portland, Oregon. Keith Crowner is licensed to practice in * (Not Available) (license number ) and his current practice location is
8428 N Bliss St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(443) 453-3010.
NPI number for Keith Crowner is 1336641190 and his current mailing address is 8428 N Bliss St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336641190.
Healthcare Provider's Profile
| Full Name | Keith Crowner |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 8428 N Bliss St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336641190
- Provider Enumeration Date: 03/07/2018
- Last Update Date: 03/07/2018
Medical Identifiers
Medical identifiers for Keith Crowner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336641190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Crowner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith Crowner,
8428 N Bliss St,
Portland, OR 97203-1177
Ph: (443) 453-3010 | Keith Crowner,
8428 N Bliss St,
Portland, OR 97203-1177
Ph: (443) 453-3010 |
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