Healthcare Provider Details

I. General information

NPI: 1265578942
Provider Name (Legal Business Name): KEITH B. POST LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13170 SW BARLOW RD
BEAVERTON OR
97008-5631
US

IV. Provider business mailing address

13170 SW BARLOW RD
BEAVERTON OR
97008-5631
US

V. Phone/Fax

Practice location:
  • Phone: 503-644-4260
  • Fax:
Mailing address:
  • Phone: 503-644-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4813
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: