person
Jack Keenan
Mental Health Counselor in Portland, Oregon
NPI 1649641812

Jack Keenan is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Jack Keenan practices in Portland, OR. The NPI Number for Jack Keenan is 1649641812 and holds a License No. (Oregon).

The current practice location address for Jack Keenan is 3530 Se 136Th Ave Apt 5, Portland, OR and can be reached out via phone at 503-719-4535 and via fax at 503-719-4537.

Location: 3530 Se 136Th Ave Apt 5, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1649641812
Provider Name
Jack Keenan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3530 Se 136Th Ave Apt 5, Portland, OR, 97504-4004
Phone Number
503-719-4535
Fax Number
503-719-4537
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3530 Se 136Th Ave Apt 5
City
State
Zip
97236-2958
Phone Number
503-719-4535
Fax Number
503-719-4537
person
Provider Business Mailing Address Details
Address
3530 Se 136Th Ave Apt 5
City
State
Zip
97236-2958
Phone Number
503-719-4535
Fax Number
503-719-4537
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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