Active NPI
Keith Ian Linn, PSY.D.
- Health Service Psychologist
- Portland, OR
National Provider Identifier
1033401674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1504
- Practice address
- 2525 NW Lovejoy
Ste. 401
Portland, OR 97210-2865 - Phone
- (503) 227-6568
- Fax
- (502) 227-5796
- NPI assigned
- May 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 1504 | OR | Primary |
Addresses
Primary practice location
2525 NW Lovejoy
Ste. 401
Portland, OR 97210-2865
Mailing address
2525 NW Lovejoy
Ste. 401
Portland, OR 97210-2865
Phone (503) 222-5212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1504 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1033401674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 NW LOVEJOY",
"address_2": "STE. 401",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102865",
"telephone_number": "503-222-5212",
"fax_number": "502-227-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NW LOVEJOY",
"address_2": "STE. 401",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102865",
"telephone_number": "503-227-6568",
"fax_number": "502-227-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINN",
"first_name": "KEITH",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OR",
"license": "1504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.