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KEITH DENICK
NPI 1609753573
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 20, 2025
1219 SE LAFAYETTE ST, PORTLAND, OR 97202(503) 765-5733 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Denick NPPES

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

KEITH DENICK (NPI 1609753573) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1609753573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITH DENICK
Location Address1219 SE LAFAYETTE STPortland, OR 97202-3802
Mailing Address8143 Se 75th PlPortland, OR 97206-8623 · (971) 295-6003
Phone(503) 765-5733
Sole ProprietorNo
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1609753573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1219 SE LAFAYETTE ST, Portland, OR 97202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 13

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

QUINN H CONNICK MA, BA
Counselor (Mental Health)
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
EMILY LICHTENBERG ATR-P
Counselor (Mental Health)
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 305-4230
CASSANDRA WOEBER ART THERAPY INTERN
Counselor (Mental Health)
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
JONNIE SID NAPIER MS
Counselor (Mental Health)
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
LENORE MARIE MOSS
Student in an Organized Health Care Education/Training Program
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
FULL SPECTRUM THERAPY LLC
Counselor
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
JORDAN HARTMAN HAIGHT LCSW
Social Worker (Clinical)
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733
DR. ANGELA LYNN HARMAN PSY.D.
Psychologist
1219 SE LAFAYETTE ST
PORTLAND, OR 97202
Multnomah County (503) 765-5733

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 Denick's NPI number?

The NPI number for Keith Denick is 1609753573. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Keith Denick located?

Keith Denick practices at 1219 SE Lafayette St, Portland, OR 97202. The listed phone number is (503) 765-5733.

What is Keith Denick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Keith Denick accept?

Health plans from Moda Health Plan, Inc. list Keith Denick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Denick was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.