Keith Henry Griffin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD08769 Issued in OR

Practice address

33305 NE Old Parrett Mountain Rd
Newberg, OR 97132-6936

Phone

(503) 720-5145

NPI assigned

Aug 17, 2006

Last updated

Aug 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mr. Keith Henry Nibler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1306950639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971320577",
            "telephone_number": "503-720-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33305 NE OLD PARRETT MOUNTAIN RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326936",
            "telephone_number": "503-720-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KEITH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD08769",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD08769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234294",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500627014",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "NIBLER",
            "middle_name": "HENRY",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Graber, LMT
• Joel C Graham
• Billy N Grande, MS
• Marsha Ann Green, PSY.D.
• Lindsey Greenfield
• Karen Claudette Griffis, FNP
• Roshana Dee Grile, STUDENT INTERN
• Angela Eastman Grissom, MS, SLP-CCC
• Gso Equipment Corp (The Oregon Clinic Endoscopy Center - Newberg)
• Jaecelle Guadiz Galeniece, MD

• Psychiatry Physician in Newberg, OR
• Providers in Newberg, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.