Individual
MATTHEW JAMES KEELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6801 NE CORNFOOT RD, PORTLAND, OR 97218-2743
(503) 249-0997
Mailing address
307 NW 189TH ST, RIDGEFIELD, WA 98642-5779
(360) 887-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10004744
OR
363LF0000X
Family Nurse Practitioner
60919295
WA
Other
Enumeration date
01/15/2019
Last updated
02/21/2023
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