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TIMOTHY LYNN KEENEN MD
NPI 1194716571
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Tualatin, OR

Active since November 03, 2005PECOS Enrolled
19260 SW 65TH AVE STE 270, TUALATIN, OR 97062(503) 885-9391(503) 563-5520 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Lynn Keenen Md NPPES

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

TIMOTHY LYNN KEENEN MD (NPI 1194716571) is an individual orthopaedic surgery of the spine provider in Tualatin, Oregon, licensed in Oregon (MD15842) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194716571
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameTIMOTHY LYNN KEENENCredential: MD
Location Address19260 SW 65TH AVE STE 270Tualatin, OR 97062
Mailing Address19260 Sw 65th Ave, Suite 270Tualatin, OR 97062-5701 · (503) 885-9391 · Fax (503) 563-5520
Phone(503) 885-9391
Fax(503) 563-5520
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateAugust 15, 2018
✔ NPI 1194716571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in OR · MD15842
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
19260 SW 65TH AVE STE 270, Tualatin, OR 97062
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Other Identifiers 2

Medicaid215608OR
OtherR113019Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Lynn Keenen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

LISA MAE COWAN PA-C
Physician Assistant
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 885-9391
DR. TANA MARIE HAYNES M.D.
Internal Medicine
19260 SW 65TH AVE STE 270, SUITE B2
TUALATIN, OR 97062
Washington County (503) 699-0764
RANI BUI PA
Physician Assistant
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 692-9525
PACIFIC SPINE SPECIALISTS, LLC
Specialist
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 885-9391
MRS. EMILEE MARIE CHESTERFIELD PA-C
Physician Assistant (Medical)
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 692-9525
NORTHWEST INTERNAL MEDICINE LLC
Specialist
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 329-1851

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 Timothy Keenen's NPI number?

The NPI number for Timothy Keenen is 1194716571. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Timothy Keenen located?

Timothy Keenen practices at 19260 SW 65th Ave Ste 270, Tualatin, OR 97062. The listed phone number is (503) 885-9391.

What is Timothy Keenen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Timothy Keenen enrolled in Medicare?

Yes. Timothy Keenen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Keenen was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.