Provider Demographics
NPI:1265578942
Name:POST, KEITH B (LMT)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:B
Last Name:POST
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13170 SW BARLOW RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5631
Mailing Address - Country:US
Mailing Address - Phone:503-644-4260
Mailing Address - Fax:
Practice Address - Street 1:13170 SW BARLOW RD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5631
Practice Address - Country:US
Practice Address - Phone:503-644-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4813225700000X
OR826175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR4813OtherOREGON BOARD OF MASSAGE THERAPISTS
OR826OtherOREGON BOARD OF NATUROPATHIC MEDICINE
OR233124Medicaid