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MR. KEITH D JOHNSON MAED
NPI 1417210675
Counselor - Pastoral in Portland, OR

Active since June 21, 2012
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 445-0436 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Keith D Johnson Maed NPPES

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

MR. KEITH D JOHNSON MAED (NPI 1417210675) is an individual pastoral provider in Portland, Oregon and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1417210675
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. KEITH D JOHNSONCredential: MAED
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371
Phone(503) 445-0436
Sole ProprietorNo
Enumeration DateJune 21, 2012
✔ NPI 1417210675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
3415 SE POWELL BLVD, Portland, OR 97202
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Other Providers at the Same Location NPPES 20

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

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

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 Johnson's NPI number?

The NPI number for Keith Johnson is 1417210675. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Keith Johnson located?

Keith Johnson practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 445-0436.

What is Keith Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Keith Johnson was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.