Individual
MR. NATHAN DEWAYNE KEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
1962 NW KEARNEY ST., STE 106, PORTLAND, OR 97209
(503) 484-6757
Mailing address
1962 NW KEARNEY ST., STE 106, PORTLAND, OR 97209
(503) 484-6757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12-09-23
OR
1041C0700X
Clinical Social Worker
Primary
L6436
OR
Other
Enumeration date
10/06/2009
Last updated
12/19/2014
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