NPI 1023120086

Keith Nelson, LCSW

Practitioner Clinical Social Worker Salem, OR

Practice location

Address: 150 Kingwood Ave NW, Salem, OR 97304-4030
Phone: (503) 588-5816
Fax: (503) 588-5803
Mailing address: 1626 Goldcrest Ave NW, Salem, OR 97304-2006

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence L3802 (OR)

Other Social Worker providers in Oregon →

Registry record

NPI: 1023120086
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.