Individual
MR. KEITH M IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHP
Contact information
Practice address
2001 COMMERCIAL ST SE # 200, SALEM, OR 97302-5207
(503) 370-8050
(503) 370-9982
Mailing address
2001 COMMERCIAL ST SE # 200, SALEM, OR 97302-5207
(503) 370-8050
(503) 370-9982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4798
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
03/18/2026
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