Provider Demographics
NPI:1932401916
Name:KEANE, BRIGETTE MARIE (MFT)
Entity Type:Individual
Prefix:MS
First Name:BRIGETTE
Middle Name:MARIE
Last Name:KEANE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:BRIGETTE
Other - Middle Name:MARIE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:18650 NW CORNELL RD STE 315
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-9212
Mailing Address - Country:US
Mailing Address - Phone:503-325-0468
Mailing Address - Fax:503-352-1024
Practice Address - Street 1:447 SE BASELINE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97006
Practice Address - Country:US
Practice Address - Phone:503-640-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist