DR. KEITH A CAMPBELL PHD
NPI 1104964436
Psychologist - Clinical in Portland, OR

Q: What is Keith Campbell's NPI number?

The NPI number for Keith Campbell is 1104964436. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Keith Campbell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Keith Campbell was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2007

1942 NW KEARNEY ST STE 24, PORTLAND, OR 97209(503) 221-7074(503) 636-8784 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Keith A Campbell Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH A CAMPBELL PHD (NPI 1104964436) is an individual clinical provider in Portland, Oregon, licensed in Oregon (619) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104964436

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEITH A CAMPBELLCredential: PHD

Location Address1942 NW KEARNEY ST STE 24Portland, OR 97209-1465

Mailing Address1942 Nw Kearney St Ste 24Portland, OR 97209-1465 · (503) 221-7074 · Fax (503) 636-8784

Phone(503) 221-7074

Fax(503) 636-8784

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateMay 7, 2018

✔ NPI 1104964436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 619

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1942 NW KEARNEY ST STE 24, Portland, OR 97209

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY LU M.D.

Psychiatry & Neurology (Psychiatry)

1942 NW KEARNEY ST STE 24
PORTLAND, OR 97209

Multnomah County (971) 350-8968

MARY W. LU, MD, LLC

Psychiatry & Neurology (Psychiatry)

1942 NW KEARNEY ST STE 24
PORTLAND, OR 97209

Multnomah County (971) 350-8968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Campbell's NPI number?

The NPI number for Keith Campbell is 1104964436. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Keith Campbell located?

Keith Campbell practices at 1942 NW Kearney St Ste 24, Portland, OR 97209. The listed phone number is (503) 221-7074.

What is Keith Campbell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Keith Campbell was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.