Healthcare Provider Details

I. General information

NPI: 1821342403
Provider Name (Legal Business Name): THOMAS CHARLES KEENAN-HUNT LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THOMAS CHARLES HUNT

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 STATE ST STE 270
SALEM OR
97301-3647
US

IV. Provider business mailing address

494 STATE ST STE 270
SALEM OR
97301-3647
US

V. Phone/Fax

Practice location:
  • Phone: 503-583-2121
  • Fax: 855-855-4872
Mailing address:
  • Phone: 503-583-2121
  • Fax: 855-855-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT3434
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: