MEDICARE: JAMIE D KEIG RN, MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95126729	CA
2	363LF0000X	Family Nurse Practitioner	AP61209567	WA
3	163W00000X	Registered Nurse	201903858RN	OR
4	363LF0000X	Family Nurse Practitioner	201906641NP-PP	OR
5	163W00000X	Registered Nurse	RN61194004	WA

General Provider Information

NPI Number	:	1548725112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE D KEIG RN, MSN, FNP-C

Provider Business Mailing Address
First Line	:	17050 PILKINGTON RD STE 220
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-6309
Country	:	US
Telephone Number	:	564-225-0966
Fax Number	:	866-522-6255

Provider Business Practice Location Address
First Line	:	17050 PILKINGTON RD STE 220
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-6309
Country	:	US
Telephone Number	:	564-225-0966
Fax Number	:	866-522-6255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	02/25/2026

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