Individual
KEITH POWRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1880 SW 6TH AVE # 200, PORTLAND, OR 97201-5204
(503) 725-2800
Mailing address
2910 SE 66TH AVE, PORTLAND, OR 97206-1930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8347
OR
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2012
Last updated
03/08/2023
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