Mr. Terry Keller
Mental Health Counselor
33 Nw Broadway
Portland
, Oregon 97209-3580
Mr. Terry Keller
Mental Health Counselor
33 Nw Broadway
Portland
, Oregon 97209-3580
(541) 858-8170
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mr. Terry Keller
- 3587 Heathrow Way
- Medford, OR
- Zip : 97504-4004
- Phone : (541) 858-8170
Second Address
- Mr. Terry Keller
- 33 Nw Broadway
- Portland, OR
- Zip : 97209-3580
- Fax : (503) 501-5679
- Phone : (503) 228-7134
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003117474 |
|---|---|
| Provider Name | Mr. Terry Keller |
| First Address | Medford, OR 97504-4004 |
| Second Address | Portland, OR 97209-3580 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2010 |
| Last Update Date | 18/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.