| Keith Powrie, Lcsw, Llc | |
|
2910 Se 66th Ave Portland OR 97206-1930 | |
| (503) 420-7793 | |
| Not Available |
| Full Name | Keith Powrie, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2910 Se 66th Ave, Portland, Oregon |
| Authorized Official Name and Position | Keith Powrie (ORGANIZER/MEMBER) |
| Authorized Official Contact | 5034207793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Powrie, Lcsw, Llc 2910 Se 66th Ave Portland OR 97206-1930 Ph: () - | Keith Powrie, Lcsw, Llc 2910 Se 66th Ave Portland OR 97206-1930 Ph: (503) 420-7793 |
| NPI Number | 1700586690 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700586690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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