Provider Demographics
NPI:1497533160
Name:KEITH DEMPSEY COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:KEITH DEMPSEY COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR / THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:503-799-1298
Mailing Address - Street 1:2100 NE BROADWAY ST STE 335
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1570
Mailing Address - Country:US
Mailing Address - Phone:503-799-1298
Mailing Address - Fax:503-926-9244
Practice Address - Street 1:2100 NE BROADWAY ST STE 335
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1570
Practice Address - Country:US
Practice Address - Phone:503-799-1298
Practice Address - Fax:503-926-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)