Individual
KEITH CROWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8428 N BLISS ST, PORTLAND, OR 97203-1177
(443) 453-3010
Mailing address
8428 N BLISS ST, PORTLAND, OR 97203-1177
(443) 453-3010
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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