Individual provider Active NPI

Keith G Lowenstein, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1679749980
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
017648 Issued in OR
Practice address
15160 NW Laidlaw Rd Ste 240
Portland, OR 97229-0014
Phone
(503) 601-7004
Fax
(503) 601-6876
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD17648 OR
Psychiatry Physician 2084P0800X 017648 OR Primary

Addresses

Primary practice location

15160 NW Laidlaw Rd Ste 240
Portland, OR 97229-0014

Mailing address

15160 NW Laid Law Rd
#240
Portland, OR 97229
Phone (503) 384-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001290 OR Practitioner - Psychiatry 0547529984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest IV LLCGroup PAC ID 7214277383, 10 clinicians

Practice addresses (Care Compare)

6400 SE Lake Rd
Suite 155
Portland, OR 97222-2137
Phone (503) 447-3285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017648ORMDPsychiatry Physician
MD17648ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest IV, LLC CurrentSince Dec 29, 2025 Accepting new patients
Keith G. Lowenstein MD PC Psychiatry Past Accepting new patients
Western Psychological and Counseling Services LLC Psychiatry Past Accepting new patients

Locations

16100 NW Cornell Rd
Ste 190
Beaverton, OR 97006
Phone (888) 830-6088

2255 NW Shevlin Park Rd
Ste 110
Bend, OR 97703
Phone (541) 728-2525

6400 SE Lake Rd
Ste 155
Portland, OR 97222
Phone (503) 447-3285

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.keithlowenstein@148835.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1679749980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 NW LAID LAW RD",
            "address_2": "#240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-384-0044",
            "fax_number": "503-384-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 NW LAIDLAW RD STE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290014",
            "telephone_number": "503-601-7004",
            "fax_number": "503-601-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWENSTEIN",
        "first_name": "KEITH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD17648",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "017648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.