Keynan Abdi
Individual provider Active NPI Counselor · Gresham, OR
NPI 1356260350 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1356260350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 470 NE Cleveland Ave
Gresham, OR 97030-7961 - Phone
- (971) 420-9444
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
470 NE Cleveland Ave
Gresham, OR 97030-7961
Mailing address
470 NE Cleveland Ave
Gresham, OR 97030-7961
Other providers in Gresham, OR
- 360 Pelvic Health Institute LLC
- A Body of Wisdom Natural Family Medicine, LLC
- A Renaissance Health Center for Natural Medicine
- Aa Vision Corporation
- April Abaecherli-Shore
- Brianna Elizabeth Abernathy
- Eva Elizabeth Abrego Lopez
- Acacia in Home Care,LLC
- Access Acupuncture LLC
- Accident Care Chiropractic and Massage
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.